BIOMATRIX ADVANCED GRAFT SOLUTIONS LTD NPI 1255142808

NPI Information

  • NPI: 1255142808
  • Provider Name: BIOMATRIX ADVANCED GRAFT SOLUTIONS LTD
  • Classification: Registered Nurse - 163WW0000X
  • Specialization: Wound Care
  • Entity Type: Organization
  • Address: 3305 SPRING MOUNTAIN RD STE 86
    LAS VEGAS, NV
    ZIP 89102
  • Phone: (702) 635-7443

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NPI Details

BIOMATRIX ADVANCED GRAFT SOLUTIONS LTD is a wound care registered nurse in Las Vegas, NV. BIOMATRIX ADVANCED GRAFT SOLUTIONS LTD NPI is 1255142808. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3305 SPRING MOUNTAIN RD STE 86
LAS VEGAS, NV
ZIP 89102-630
Phone: (702) 635-7443

The provider's authorized official is Beverly Thielke .
The authorized official title is Provider and has the following contact phone number (702) 635-7443.

The enumeration date for this NPI number is 1/14/2025 and was last updated on 1/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WW0000XRegistered NurseWound CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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