Organization · Type 2 NPI
Hydration Haven
Primary Care Nurse Practitioner · Tamarac, FL
NPI number
1376135889
Active
Practice location
5600 NW 57th Way
Tamarac, FL 33319-2420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
Other primary care nurse practitioner providers in Tamarac
About NPI 1376135889
Hydration Haven's National Provider Identifier is 1376135889, issued on Feb 5, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Tamarac, FL. The record was last updated on Feb 5, 2021.