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MAGNIFICENT ADVANCED AESTHETICS PLLC
NPI 1790417541
Nurse Practitioner - Primary Care in Allen, TX

Active since June 29, 2022
333 E BETHANY DR STE J130, ALLEN, TX 75002(972) 741-0484 Get Directions Write a Review

NPPES record last updated: May 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2026, Nov 16, 2022, Aug 31, 2022 (3 updates tracked since 2022).

About Magnificent Advanced Aesthetics Pllc NPPES

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

MAGNIFICENT ADVANCED AESTHETICS PLLC (NPI 1790417541) is a healthcare organization registered as a primary care in Allen, Texas and active in the NPI registry since June 2022. The organization lists Mireya Liss, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790417541
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameMAGNIFICENT ADVANCED AESTHETICS PLLC
Location Address333 E BETHANY DR STE J130Allen, TX 75002-3826
Mailing Address333 E Bethany Dr Ste J130Allen, TX 75002-3826 · (972) 741-0484
Phone(972) 741-0484
Organization SubpartNo
Authorized OfficialMireya LissCeo · (972) 741-0484
Enumeration DateJune 29, 2022
Last NPPES UpdateMay 30, 20263 updates tracked since enumeration
NPPES CertifiedMay 30, 2026
✔ NPI 1790417541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
333 E BETHANY DR STE J130, Allen, TX 75002
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Other Names 1

Doing Business AsMagnificent Advanced Aesthetics Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIREYA LISS CNP
Nurse Practitioner (Family)
333 E BETHANY DR STE J130
ALLEN, TX 75002
Collin County (972) 741-0484

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 Magnificent Advanced Aesthetics PLLC's NPI number?

The NPI number for Magnificent Advanced Aesthetics PLLC is 1790417541. It was assigned to this organization in the NPPES registry on June 29, 2022.

Where is Magnificent Advanced Aesthetics PLLC located?

Magnificent Advanced Aesthetics PLLC is located at 333 E Bethany Dr Ste J130, Allen, TX 75002. The listed phone number is (972) 741-0484.

What is Magnificent Advanced Aesthetics PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Magnificent Advanced Aesthetics PLLC was last updated on May 30, 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.