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NPI Code Detail

MEDICARE: TRUE AESTHETICS LLC

MEDICARE: TRUE AESTHETICS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency
2251F00000XHome Infusion Agency

General Provider Information

NPI Number : 1386298214
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUE AESTHETICS LLC
Provider Business Mailing Address
First Line : 455 E PEBBLE RD # 230211
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-3084
Country : US
Telephone Number : 702-913-6333
Fax Number :
Provider Business Practice Location Address
First Line : 12300 LAS VEGAS BLVD S
Second Line :
City : HENDERSON
State : NV
Zip : 89044-9506
Country : US
Telephone Number : 702-913-6333
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : ESTEE L SCHMIDT
Credential : RN
Telephone Number : 702-913-6333
Provider Enumeration Date : 07/29/2019
Last Update Date : 07/31/2019

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