Provider Demographics
NPI:1649854068
Name:HYDRATION THERAPY & WEIGHT LOSS CENTER PLLC
Entity type:Organization
Organization Name:HYDRATION THERAPY & WEIGHT LOSS CENTER PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:520-327-2223
Mailing Address - Street 1:2982 E FORT LOWELL RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1571
Mailing Address - Country:US
Mailing Address - Phone:520-327-2223
Mailing Address - Fax:833-346-0414
Practice Address - Street 1:2982 E FORT LOWELL RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-1571
Practice Address - Country:US
Practice Address - Phone:520-327-2223
Practice Address - Fax:833-346-0414
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HYDRATION THERAPY & WEIGHT LOSS CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-11
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty