Healthcare Provider Details
I. General information
NPI: 1619431525
Provider Name (Legal Business Name): ALLURE HEALTH AND MED SPA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2019
Last Update Date: 01/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13939 GOLD CIR STE 100
OMAHA NE
68144-2316
US
IV. Provider business mailing address
13939 GOLD CIR STE 100
OMAHA NE
68144-2316
US
V. Phone/Fax
- Phone: 402-881-3638
- Fax: 402-330-1945
- Phone: 402-881-3638
- Fax: 402-330-1945
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HILARY
MUHLE
Title or Position: MEDICAL DIRECTOR
Credential: APRN
Phone: 402-881-3638