Anti-Aging, Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

APRN001946 Issued in NV

Legal business name

ANTI-AGING, INC

Practice address

10200 Trailing Dalea Ave
Las Vegas, NV 89135-2083

Phone

(435) 862-3137

NPI assigned

Dec 24, 2015

Last updated

Dec 24, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cori Saville, APRN

Title

Director

Phone

(435) 862-3137

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450915200000",
    "number": "1659736262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 TRAILING DALEA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352083",
            "telephone_number": "435-862-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 TRAILING DALEA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352083",
            "telephone_number": "435-862-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTI-AGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-24",
        "last_updated": "2015-12-24",
        "status": "A",
        "authorized_official_last_name": "SAVILLE",
        "authorized_official_first_name": "CORI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "435-862-3137",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NV",
            "license": "APRN001946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Nicole Anthony
• Shaunnia Anthony
• Taryn Leigh Anthony, RBT
• Taylor Anthony, DO
• Valerie Kaye Anthony
• Roselle Santos Antikoll
• Kendra L Antill
• Daphne Antillon, DO
• Rona Antipolo
• Beverley M Antoine, PH.D/PSY.D

• Health Service Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Health Service Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.