Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Core IV Hydration and Med Spa LLC

Organization Infusion Therapy Registered Nurse · NPI 1912828179

Core IV Hydration and Med Spa LLC is an Infusion Therapy Registered Nurse in Tiburon, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1 Blackfield Dr Ste 2 #307
Tiburon, CA 94920
Phone: (415) 850-3447
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infusion Therapy Registered Nurse (primary) Taxonomy 163WI0500X

Record details

NPI number1912828179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Nissen — Owner · (415) 850-3447
NPI enumeratedJuly 23, 2026
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address1 Blackfield Dr Suite 2 #307, Tiburon, CA 94920