Organization · Type 2 NPI
Ivy Creek of Elmore, LLC
Wound Care Registered Nurse · Wetumpka, AL
NPI number
1679204838
Active
Practice location
500 Hospital Dr Ste C
Wetumpka, AL 36092-1625
Fax (334) 514-3686
Mailing address
PO Box 130
Wetumpka, AL 36092-0003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Wound Care Registered Nurse Primary | 163WW0000X | None listed |
Wound Care Registered Nurse: Definition to come...
About NPI 1679204838
Ivy Creek of Elmore, LLC's National Provider Identifier is 1679204838, issued on Jun 20, 2022. The primary taxonomy on file is Wound Care Registered Nurse (163WW0000X), and the practice location is in Wetumpka, AL. The record was last updated on Jun 20, 2022.