Provider Demographics
NPI:1023850609
Name:NUYOU SLIMMING AESTHETICS WELLNESSN LLC
Entity type:Organization
Organization Name:NUYOU SLIMMING AESTHETICS WELLNESSN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONERS
Authorized Official - Prefix:
Authorized Official - First Name:MARNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VON HAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:480-651-7750
Mailing Address - Street 1:10105 E VIA LINDA STE 103
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5346
Mailing Address - Country:US
Mailing Address - Phone:480-651-7750
Mailing Address - Fax:
Practice Address - Street 1:9295 E THUNDERBIRD RD STE 130
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-4376
Practice Address - Country:US
Practice Address - Phone:480-651-7750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service