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Evolve Wellness & Iv Hydration Center Llc
Primary Care Nurse Practitioner in Maumee, Ohio
NPI 1265142780

Evolve Wellness & Iv Hydration Center Llc is a Primary Care Nurse Practitioner based in Maumee, OH and is specialized in Primary Care. Evolve Wellness & Iv Hydration Center Llc practices in Maumee, OH. The NPI Number for Evolve Wellness & Iv Hydration Center Llc is 1265142780 and holds a License No. (Ohio).

The current practice location address for Evolve Wellness & Iv Hydration Center Llc is 1715 Indian Wood Cir Ste 200, Maumee, OH and can be reached out via phone at 419-314-9535 and via fax at 419-469-5495.

Location: 1715 Indian Wood Cir Ste 200, Maumee, OH, 43537-4055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265142780
Provider Name
Evolve Wellness & Iv Hydration Center Llc
Credential
Provider Entity Type
Organization
Address
1715 Indian Wood Cir Ste 200, Maumee, OH, 43537-4055
Phone Number
419-314-9535
Fax Number
419-469-5495
Provider Enumeration Date
11/28/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1715 Indian Wood Cir Ste 200
City
Maumee
State
Ohio
Zip
43537-4055
Phone Number
419-314-9535
Fax Number
419-469-5495
person
Provider Business Mailing Address Details
Address
1715 Indian Wood Cir Ste 200
City
Maumee
State
Ohio
Zip
43537-4055
Phone Number
419-314-9535
Fax Number
419-469-5495
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
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