Organization
BIOMATRIX ADVANCED GRAFT SOLUTIONS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY THIELKE NURSE PRACTITIONER (PROVIDER)
(702) 635-7443
Entity
Organization
Contact information
Practice address
3305 SPRING MOUNTAIN RD STE 86, LAS VEGAS, NV 89102-8630
(702) 635-7443
Mailing address
3305 SPRING MOUNTAIN RD STE 86, LAS VEGAS, NV 89102-8630
(702) 635-7443
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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