Healthcare Provider Details
I. General information
NPI: 1356892723
Provider Name (Legal Business Name): WOMEN'S WISDOM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2016
Last Update Date: 10/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5011 KENWOOD RD
CINCINNATI OH
45227-2040
US
IV. Provider business mailing address
7176 BLUECREST DR
CINCINNATI OH
45230-2203
US
V. Phone/Fax
- Phone: 513-313-0268
- Fax: 513-536-6041
- Phone: 513-313-2068
- Fax: 513-536-6041
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAMELA
BELL
Title or Position: OWNER
Credential: CPM
Phone: 513-313-2068