IV Hydration Vitamin Therapy LLC
NPI #1083322473 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1083322473
- Entity Type
- Organization
- Organization Name
- IV Hydration Vitamin Therapy LLC
- Primary Specialty
- Clinic/Center - Infusion Therapy
- Enumeration Date
- Nov 14, 2022
- Last Updated
- Nov 29, 2022
Practice Location
- Address
- 10020 AUBURN PARK DR STE A
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46825-2389
- Phone
- (260) 705-7457
Authorized Official
- Name
- ANDREA FAST
- Title
- MANAGER
- Phone
- (765) 730-2130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Infusion Therapy — Infusion Therapy |
| Emergency Medicine |
| Clinic/Center - Health Service — Health Service |
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
| Clinic/Center - Infusion Therapy — Infusion Therapy |
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