Healthcare Provider Details

I. General information

NPI: 1023971066
Provider Name (Legal Business Name): AURA HEALTH AND WELLNESS CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3765 E SUNSET RD STE B9
LAS VEGAS NV
89120-6208
US

IV. Provider business mailing address

3765 E SUNSET RD STE B9
LAS VEGAS NV
89120-6208
US

V. Phone/Fax

Practice location:
  • Phone: 702-673-1930
  • Fax:
Mailing address:
  • Phone: 702-673-1930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RAYMOND TINIO
Title or Position: OWNER
Credential: APRN
Phone: 562-310-5772