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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

IV GLOW AND WELLNESS LLC
NPI 1538080908
Nurse Practitioner in Medford, NY

Active since July 22, 2026
9 CEDAR AVE, MEDFORD, NY 11763(631) 294-9780 Get Directions Write a Review

NPPES record added: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Iv Glow And Wellness Llc NPPES

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

IV GLOW AND WELLNESS LLC (NPI 1538080908) is a healthcare organization registered as a nurse practitioner in Medford, New York and active in the NPI registry since July 2026. The organization lists Nicole Ashley Siguencia, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1538080908
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameIV GLOW AND WELLNESS LLC
Location Address9 CEDAR AVEMedford, NY 11763-3501
Mailing Address9 Cedar AveMedford, NY 11763-3501 · (631) 294-9780
Phone(631) 294-9780
Organization SubpartNo
Authorized OfficialNicole Ashley SiguenciaOwner/provider · (631) 294-9780
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1538080908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9 CEDAR AVE, Medford, NY 11763
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is IV Glow And Wellness LLC's NPI number?

The NPI number for IV Glow And Wellness LLC is 1538080908. It was assigned to this organization in the NPPES registry on July 22, 2026.

Where is IV Glow And Wellness LLC located?

IV Glow And Wellness LLC is located at 9 Cedar Ave, Medford, NY 11763. The listed phone number is (631) 294-9780.

What is IV Glow And Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for IV Glow And Wellness LLC was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.