MARY ANN REVELES

NPI: 1164149621 · Individual · Active

Primary Specialty

Family Nurse Practitioner
Nurse Practitioner — Family

Practice Location

33 W THOUSAND OAKS BLVD STE A-2
THOUSAND OAKS, CA 91360-4416 Map ↗
Phone: 805-497-7888
Fax: 805-494-3498

All Specialties & Licenses

  • Family Nurse Practitioner Primary — Family (license: 95022758, CA)

NPI Registration

Enumerated: 2022-10-25

Last CMS Update: 2026-02-26