National Provider Identifier Database

INNOVATIVE WOUND MANAGEMENT LLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


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
* Specialist 174400000X
Family 363LF0000X
Family Medicine 207Q00000X
Wound Care 163WW0000X

* Indicates primary specialty

NPI Profile & details for INNOVATIVE WOUND MANAGEMENT, LLC

NPI Number 1851110837
Legal business name
LBN
INNOVATIVE WOUND MANAGEMENT, LLC
Authorized official MARY CLYDE MANALILI - (CFO)
Entity Organization
Organization subpart No
Enumeration date 10/07/2024
Last updated 10/21/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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