Healthcare Provider Details
I. General information
NPI: 1922910967
Provider Name (Legal Business Name): HYDRATEME LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12 HILL ST
SACO ME
04072-3223
US
IV. Provider business mailing address
12 HILL ST
SACO ME
04072-3223
US
V. Phone/Fax
- Phone: 207-249-8435
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AISHA
GAEL
SAUNDERS
Title or Position: FOUNDER/MEDICAL DIRECTOR
Credential: FNP-C
Phone: 207-249-8435