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Contact Information

INNOVATIVE WOUND MANAGEMENT, LLC
8551 W LAKE MEAD BLVD STE 200
LAS VEGAS, NV89128-7642
 Phone: 702-703-1668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for INNOVATIVE WOUND MANAGEMENT LLC · (Female)

NPI # 1851110837
Status Active
Credentials
Entity Individual
Enumeration date 10/07/2024
Last updated 10/21/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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