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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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2208000000XPediatricsYes

What is NPI?

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This page was last updated on: 11/21/2025

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