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

IV Hydration Vitamin Therapy LLC

Organization Infusion Therapy Registered Nurse · NPI 1083322473

IV Hydration Vitamin Therapy LLC is an Infusion Therapy Registered Nurse in Fort Wayne, Indiana. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
6
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

10020 Auburn Park Dr Ste A
Fort Wayne, IN 46825-2389
Phone: (260) 705-7457
Show map & directions

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

Additional practice locations (1)

  • 10106 Dupont Circle Dr E, Fort Wayne, IN 46825-1638 — (260) 705-7547

Specialties & licences

Infusion Therapy Clinic/Center (primary) Taxonomy 261QI0500X
Infusion Therapy Registered Nurse Taxonomy 163WI0500X
Emergency Medicine Physician Taxonomy 207P00000X
Health Service Clinic/Center Taxonomy 261QH0100X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1083322473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Fast — Manager · (765) 730-2130
NPI enumeratedNovember 14, 2022
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing address2624 Barry Knoll Way, Fort Wayne, IN 46845-1938