Healthcare Provider Details
I. General information
NPI: 1164343463
Provider Name (Legal Business Name): NVM AESTHETICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7355 E THOMPSON PEAK PKWY APT A1001
SCOTTSDALE AZ
85255-4155
US
IV. Provider business mailing address
7355 E THOMPSON PEAK PKWY APT A1001
SCOTTSDALE AZ
85255-4155
US
V. Phone/Fax
- Phone: 773-727-8217
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208200000X |
| Taxonomy | Plastic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NELLIE
MOVTCHAN
Title or Position: CEO
Credential: MD
Phone: 773-727-8217