OrganizationActive
Advanced Wellness Infusion Center, LLC
NPI 1366112856 · Infusion Therapy Clinic/Center · Wasilla, AK
Provider details
- NPI number
- 1366112856
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Nathaniel Eastman, Owner/Provider
Mailing address
5805 E Columbus Way
Wasilla, AK 99654-7831
Registry dates
- Enumerated
- 2021-09-15
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.