Healthcare Provider Details
I. General information
NPI: 1104667336
Provider Name (Legal Business Name): NEXMED MARKETING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2024
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1825 W KNUDSEN DR
PHOENIX AZ
85027-1377
US
IV. Provider business mailing address
680 W NYE LN STE 201
CARSON CITY NV
89703-1500
US
V. Phone/Fax
- Phone: 623-703-4720
- Fax:
- Phone: 775-888-1325
- Fax: 775-883-2384
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WW0000X |
| Taxonomy | Wound Care Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
AARON
J.
HALEY
Title or Position: CEO
Credential:
Phone: 623-703-4720