Organization
SKIN AID LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA MONTECILLO NP (CEO)
(702) 826-0956
Entity
Organization
Contact information
Practice address
7784 CAPE COD BAY CT, LAS VEGAS, NV 89179-1425
(702) 741-8825
Mailing address
7784 CAPE COD BAY CT, LAS VEGAS, NV 89179-1425
(702) 826-0956
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/24/2025
Last updated
04/02/2025
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