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PURE INTEGRATIVE WELLNESS AND HYDRATION LLC NPI 1528680915


NPI Information

NPI: 1528680915
Provider Name: PURE INTEGRATIVE WELLNESS AND HYDRATION LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2703 UNIVERSITY BLVD E STE B
TUSCALOOSA, AL
ZIP 35404
Phone: (205) 248-7064
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PURE INTEGRATIVE WELLNESS AND HYDRATION LLC is a pediatrics in Tuscaloosa, AL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PURE INTEGRATIVE WELLNESS AND HYDRATION LLC NPI is 1528680915. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2703 UNIVERSITY BLVD E STE B
TUSCALOOSA, AL
ZIP 35404-226
Phone: (205) 248-7064
Fax: (205) 523-7158

The provider's authorized official is Lisa Gabrielle Smith .
The authorized official title is Business Manager and has the following contact phone number (601) 490-1723.

The enumeration date for this NPI number is 5/8/2020 and was last updated on 5/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.