Organization · Type 2 NPI

Magnificent Advanced Aesthetics PLLC

Primary Care Nurse Practitioner · Allen, TX

NPI number 1790417541 Active

Practice location

333 E Bethany Dr Ste J130
Allen, TX 75002-3826

Specialties and licenses

Taxonomy	Code	License
Primary Care Nurse Practitioner Primary	363LP2300X	None listed

Primary Care Nurse Practitioner: Definition to come...

Another provider at this address

Mireya Liss, CNPFamily Nurse Practitioner Allen, TX NPI 1033781067

Other primary care nurse practitioner providers in Allen

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NPI record

NPI: 1790417541
Entity type: Organization (Type 2)
Issued: Jun 29, 2022
Last updated: May 30, 2026
Status: Active

Other names

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Magnificent Advanced Aesthetics PLLC · doing business as
Magnificent Advanced Aesthetics PLLC · doing business as

Authorized official

Mrs. Mireya Liss, NP
CEO
(972) 741-0484

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About NPI 1790417541

Magnificent Advanced Aesthetics PLLC's National Provider Identifier is 1790417541, issued on Jun 29, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Allen, TX. The record was last updated on May 30, 2026.