Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renova Wellness & Aesthetics LLC

Organization Nurse Practitioner · NPI 1407783764

Renova Wellness & Aesthetics LLC is a Nurse Practitioner in Rogers, Arkansas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5101 S Sloan Cir
Rogers, AR 72758-4617
Phone: (479) 225-1750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1407783764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brant Kwyzla — Owner · (479) 225-1750
NPI enumeratedMay 8, 2026
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address5101 S Sloan Cir, Rogers, AR 72758-4617

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