MEDICARE: ITHRIVE INFUSION AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1598580425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ITHRIVE INFUSION AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	4611 GREENE ST NW STE 311
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-4284
Country	:	US
Telephone Number	:	505-926-2999
Fax Number	:	505-485-0610

Provider Business Practice Location Address
First Line	:	4611 GREENE ST NW STE 311
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-4284
Country	:	US
Telephone Number	:	505-926-2999
Fax Number	:	505-485-0610

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	RUTH L NYANG
Credential	:	FNP-C
Telephone Number	:	505-926-2999

Provider Enumeration Date	:	11/16/2024
Last Update Date	:	11/16/2024

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1962353607 — AMANDA SABRIA NICKELBERRY
Practice Location Address:

4611 GREENE ST NW STE 304
ALBUQUERQUE, NM
87114-4284

Practice Phone: 505-890-8678
Practice Fax:

1033288626 — DUNGARVIN NEW MEXICO LLC
Practice Location Address:

2309 RENARD PL SE STE 205
ALBUQUERQUE, NM
87106-4284

Practice Phone: 505-998-1060
Practice Fax: 505-998-1066

1356751069 — DR. JILLIAN RUSHING MD
Practice Location Address:

10301 COTTONWOOD PARK NW
ALBUQUERQUE, NM
87114-7035

Practice Phone: 505-871-3863
Practice Fax: 505-447-2371

1295693430 — CORRALES PRIMARY CARE LLC
Practice Location Address:

10301 COTTONWOOD PARK NW
ALBUQUERQUE, NM
87114-7035

Practice Phone: 505-871-3863
Practice Fax: 505-447-2371

1861363608 — YAWANA AMOREASE RAGIN WHNP-BC
Practice Location Address:

6915 PAESE PL NW
ALBUQUERQUE, NM
87114-5192

Practice Phone: 505-264-2584
Practice Fax:

Directions to “ITHRIVE INFUSION AND WELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.