Organization · Type 2 NPI
IV Glow and Wellness LLC
Nurse Practitioner · Medford, NY
Practice location
9 Cedar Ave
Medford, NY 11763-3501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1538080908
IV Glow and Wellness LLC's National Provider Identifier is 1538080908, issued on Jul 22, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Medford, NY. The record was last updated on Jul 22, 2026.