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RENOVA WELLNESS & AESTHETICS LLC
NPI 1407783764
Nurse Practitioner in Rogers, AR

Active since May 08, 2026
5101 S SLOAN CIR, ROGERS, AR 72758(479) 225-1750 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renova Wellness & Aesthetics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENOVA WELLNESS & AESTHETICS LLC (NPI 1407783764) is a healthcare organization registered as a nurse practitioner in Rogers, Arkansas and active in the NPI registry since May 2026. The organization lists Brant Kwyzla, Owner, as its authorized official.

NPPES Registry Identity

NPI1407783764
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameRENOVA WELLNESS & AESTHETICS LLC
Location Address5101 S SLOAN CIRRogers, AR 72758-4617
Mailing Address5101 S Sloan CirRogers, AR 72758-4617 · (479) 225-1750
Phone(479) 225-1750
Organization SubpartNo
Authorized OfficialBrant KwyzlaOwner · (479) 225-1750
Enumeration DateMay 8, 2026
NPPES CertifiedMay 8, 2026
✔ NPI 1407783764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5101 S SLOAN CIR, Rogers, AR 72758
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renova Wellness & Aesthetics LLC's NPI number?

The NPI number for Renova Wellness & Aesthetics LLC is 1407783764. It was assigned to this organization in the NPPES registry on May 8, 2026.

Where is Renova Wellness & Aesthetics LLC located?

Renova Wellness & Aesthetics LLC is located at 5101 S Sloan Cir, Rogers, AR 72758. The listed phone number is (479) 225-1750.

What is Renova Wellness & Aesthetics LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Renova Wellness & Aesthetics LLC was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.