Healthcare Provider Details

I. General information

NPI: 1598906166
Provider Name (Legal Business Name): WOMEN'S HEALTH ASSOCIATES OF SOUTHERN NEVADA- MARTIN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2009
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 POSTAL RD UNIT 450709
CLEVELAND OH
44181-2140
US

IV. Provider business mailing address

PO BOX 450709
WESTLAKE OH
44145-0614
US

V. Phone/Fax

Practice location:
  • Phone: 702-577-1622
  • Fax: 702-912-4994
Mailing address:
  • Phone: 702-330-3102
  • Fax: 702-912-4994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHARMAINE NESBITT
Title or Position: CONTRACTING
Credential:
Phone: 702-330-3102