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Ivy Creek of Elmore, LLC — NPI 1679204838, Wetumpka, AL | NPI Central

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NPI 1679204838

OrganizationActive

Ivy Creek of Elmore, LLC

NPI 1679204838 · Wound Care Registered Nurse · Wetumpka, AL

Provider details

NPI number: 1679204838
Entity type: Organization
Primary specialty: Wound Care Registered NurseNursing Service Providers
Parent organization: Ivy Creek of Elmore, LLC
Organization subpart: Yes
Authorized official: Michael Bruce, Ceo(334) 567-4311

Specialties & taxonomies

Wound Care Registered NursePrimary163WW0000X
Nursing Service Providers

Practice location

500 Hospital Dr Ste C

Wetumpka, AL 36092-1625

Phone: (334) 567-4311

Fax: (334) 514-3686

Approximate (ZIP-level) locationGet directions

More AL providers

Mailing address

Po Box 130

Wetumpka, AL 36092-0003

Other names (DBA / former)

Doing business as: Ivy Creek Wound Care

Registry dates

Enumerated: 2022-06-20
Last updated: 2022-06-20
Certified: 2022-06-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.