Healthcare Provider Details

I. General information

NPI: 1851086169
Provider Name (Legal Business Name): TOTAL INTEGRATED WOMEN'S HEALTH NP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 S BROADWAY STE 210
WHITE PLAINS NY
10605-1820
US

IV. Provider business mailing address

180 S BROADWAY STE 210
WHITE PLAINS NY
10605-1820
US

V. Phone/Fax

Practice location:
  • Phone: 914-574-4535
  • Fax: 914-574-4535
Mailing address:
  • Phone: 914-574-4535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER R WALSH
Title or Position: OWNER, NURSE PRACTITIONER
Credential: APN
Phone: 914-574-4535