Provider Demographics
NPI:1376241331
Name:SKINSCAPES LLC
Entity Type:Organization
Organization Name:SKINSCAPES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:LABROCCA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:702-233-3444
Mailing Address - Street 1:6924 HOMING PIGEON PL
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-2659
Mailing Address - Country:US
Mailing Address - Phone:702-233-3444
Mailing Address - Fax:702-233-6998
Practice Address - Street 1:801 S RANCHO DR STE B1B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-3871
Practice Address - Country:US
Practice Address - Phone:702-518-0801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty