Organization Active NPI

Gilden Mobile Wound Care Inc

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1992696900
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
GILDEN MOBILE WOUND CARE INC
Practice address
6923 Night Bloom CT
Las Vegas, NV 89148-2876
Phone
(725) 336-6290
NPI assigned
Jul 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Ruslan Boltaev
Title
Owner
Phone
(725) 336-6290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

6923 Night Bloom CT
Las Vegas, NV 89148-2876

Mailing address

6923 Night Bloom CT
Las Vegas, NV 89148-2876
Phone (725) 336-6290

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1992696900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 NIGHT BLOOM CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482876",
            "telephone_number": "725-336-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6923 NIGHT BLOOM CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482876",
            "telephone_number": "725-336-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILDEN MOBILE WOUND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "BOLTAEV",
        "authorized_official_first_name": "RUSLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-336-6290"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.