OrganizationActive
A-1 IV Rehydration Clinic and Lounge
NPI 1932806783 · Family Nurse Practitioner · Wichita, KS
Provider details
- NPI number
- 1932806783
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Teresa Jackson, Owner(316) 377-0462
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
450 N 159th St E
Wichita, KS 67230-7704
Phone: (316) 377-0462
Approximate (ZIP-level) locationGet directions
Mailing address
450 N 159th St E
Wichita, KS 67230-7704
Registry dates
- Enumerated
- 2023-02-13
- Last updated
- 2023-04-27
- Certified
- 2023-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.