Organization · Type 2 NPI
IV Hydration Vitamin Therapy LLC
Infusion Therapy Clinic/Center · Fort Wayne, IN
NPI number
1083322473
Active
Practice location
10020 Auburn Park Dr Ste A
Fort Wayne, IN 46825-2389
Mailing address
2624 Barry Knoll Way
Fort Wayne, IN 46845-1938
Other practice locations
- 10106 Dupont Circle Dr E, Fort Wayne, IN 46825-1638 · (260) 705-7547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | None listed |
| Emergency Medicine Physician | 207P00000X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
About NPI 1083322473
IV Hydration Vitamin Therapy LLC's National Provider Identifier is 1083322473, issued on Nov 14, 2022. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 29, 2022.