INNOVATIVE WOUND MANAGEMENT LLC NPI 1851110837

NPI Information

  • NPI: 1851110837
  • Provider Name: INNOVATIVE WOUND MANAGEMENT, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 8551 W LAKE MEAD BLVD STE 200
    LAS VEGAS, NV
    ZIP 89128
  • Phone: (702) 703-1668

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NPI Details

INNOVATIVE WOUND MANAGEMENT, LLC is a specialist in Las Vegas, NV. The provider is 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. INNOVATIVE WOUND MANAGEMENT, LLC NPI is 1851110837. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8551 W LAKE MEAD BLVD STE 200
LAS VEGAS, NV
ZIP 89128-642
Phone: (702) 703-1668

The provider's authorized official is Mary Clyde Manalili .
The authorized official title is Cfo and has the following contact phone number (702) 703-1668.

The enumeration date for this NPI number is 10/7/2024 and was last updated on 10/21/2025.

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 CareNo
2207Q00000XFamily MedicineNo
3363LF0000XNurse PractitionerFamilyNo
4174400000XSpecialistYes

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

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