ADVANCED WELLNESS INFUSION CENTER, LLC
NPI 1366112856
Clinic/Center - Infusion Therapy in Wasilla, AK

Q: What is Advanced Wellness Infusion Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Active since September 15, 2021

5805 E COLUMBUS WAY, WASILLA, AK 99654(907) 929-4825 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Sep 15, 2021 (2 updates tracked since 2021).

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About Advanced Wellness Infusion Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED WELLNESS INFUSION CENTER, LLC (NPI 1366112856), doing business as Hydrate Alaska, is a healthcare organization registered as an infusion therapy in Wasilla, Alaska and active in the NPI registry since September 2021. The organization maintains a secondary practice location in Anchorage and lists Nathaniel L Eastman, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1366112856

Entity TypeOrganization

Primary Taxonomy261QI0500X

Legal Business NameADVANCED WELLNESS INFUSION CENTER, LLC

Location Address5805 E COLUMBUS WAYWasilla, AK 99654-7831

Mailing Address5805 E Columbus WayWasilla, AK 99654-7831 · (907) 929-4825

Phone(907) 929-4825

Organization SubpartNo

Authorized OfficialNathaniel L EastmanOwner/provider · (907) 980-1186

Enumeration DateSeptember 15, 2021

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2021

✔ NPI 1366112856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities

Taxonomy Code261QI0500X

5805 E COLUMBUS WAY, Wasilla, AK 99654

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Other Names 1

Doing Business AsHydrate Alaska

Secondary Practice Location 1

Location 12401 E 42nd Ave Ste 205Anchorage, AK 99508-5228 · Phone (907) 929-4825

Other Identifiers 1

OtherMEDS5780AK · State Of Alaska Medical License

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREATLAND WOMEN'S HEALTCARE, LLC

Registered Nurse (Women's Health Care, Ambulatory)