Organization
NUCANVAS AESTHETICS AND WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAILO K BRANTNER NP (CEO)
(702) 308-6923
Entity
Organization
Contact information
Practice address
871 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-3977
(702) 308-6923
Mailing address
871 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-3977
(702) 308-6923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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