Advanced Wound Care Consultants LLC
General Practice in Mesquite, NV. Organization (NPI-2).
NPI number1124355243
StatusActive
Last updated in NPPESOct 26, 2010
Details
- NPI
- 1124355243
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Wound Care Consultants LLC
- Organization subpart
- No
- Enumeration date
- Nov 10, 2009
- Last updated
- Oct 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 163WW0000X | Registered Nurse, Wound Care | – | – | |
| 225100000X | Physical Therapist | – | – |
Practice location
1301 Bertha Howe AveSuite 9
Mesquite, NV 89027-7502
Phone 702-610-3786
Mailing address
Po Box 2693Mesquite, NV 89024-2693
Phone 702-610-3786
Authorized official
Erica Ann Garrett
Managing Member
7026103786
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