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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Family |
363LF0000X | 50 | Nurse Practitioner | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Wound Care |
163WW0000X |
| NPI Number | 1851110837 |
| LBN Legal business name | INNOVATIVE WOUND MANAGEMENT, LLC |
| Authorized official | MARY CLYDE MANALILI - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/07/2024 |
| Last updated | 10/21/2025 - About 8 months ago |
| Identifiers | n/a |
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INNOVATIVE WOUND MANAGEMENT, LLC