NPI 1124355243 · live from the CMS NPI Registry
Advanced Wound Care Consultants LLC
General Practice in Mesquite, NV. National Provider Identifier 1124355243, active.
NPI record
| NPI | 1124355243 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | General Practice 208D00000X |
| Practice location | 1301 Bertha Howe Ave, Suite 9, Mesquite, NV 89027 |
| Practice phone | 702-610-3786 |
| Mailing address | Po Box 2693, Mesquite, NV 89024 |
| Enumerated | November 10, 2009 |
| Last updated | October 26, 2010 |
| Authorized official | Erica Garrett, Managing Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Wound Care | 163WW0000X | — |
| Physical Therapist | 225100000X | — |
| General Practice primary | 208D00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.