Provider Demographics
NPI:1629945092
Name:DRIPME IV HYDRATION & WELLNESS
Entity type:Organization
Organization Name:DRIPME IV HYDRATION & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLBERT
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:205-559-1472
Mailing Address - Street 1:62350 U.S. 231
Mailing Address - Street 2:UNIT 2101
Mailing Address - City:CLEVELAND
Mailing Address - State:AL
Mailing Address - Zip Code:35049
Mailing Address - Country:US
Mailing Address - Phone:205-737-8210
Mailing Address - Fax:205-461-1890
Practice Address - Street 1:62350 U.S. 231
Practice Address - Street 2:UNIT 2101
Practice Address - City:CLEVELAND
Practice Address - State:AL
Practice Address - Zip Code:35049
Practice Address - Country:US
Practice Address - Phone:205-737-8210
Practice Address - Fax:205-461-1890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care