Healthcare Provider Details

I. General information

NPI: 1699535344
Provider Name (Legal Business Name): WOMEN'S HEALTH AND BIRTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 ASHVILLE AVE STE 20
CARY NC
27518-6660
US

IV. Provider business mailing address

226 ASHVILLE AVE STE 20
CARY NC
27518-6660
US

V. Phone/Fax

Practice location:
  • Phone: 919-322-0284
  • Fax:
Mailing address:
  • Phone: 919-322-0284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SARA FAWSON
Title or Position: CEO, CERTIFIED NURSE MIDWIFE
Credential: DNP CNM
Phone: 801-695-1318