Healthcare Provider Details

I. General information

NPI: 1942484498
Provider Name (Legal Business Name): WOMAN TO WOMAN GYNECOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 03/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7908 W SAHARA AVE
LAS VEGAS NV
89117-1990
US

IV. Provider business mailing address

7908 W SAHARA AVE
LAS VEGAS NV
89117-1990
US

V. Phone/Fax

Practice location:
  • Phone: 702-531-5400
  • Fax: 702-731-5404
Mailing address:
  • Phone: 702-531-5400
  • Fax: 702-731-5404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANNA T CONTOMITROS
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 702-531-5400