Healthcare Provider Details

I. General information

NPI: 1972263226
Provider Name (Legal Business Name): NEW EVE FERTILITYCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2021
Last Update Date: 12/28/2021
Certification Date: 12/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 TROUT AVENUE
LIGONIER PA
15658
US

IV. Provider business mailing address

510 TROUT AVENUE
LIGONIER PA
15658
US

V. Phone/Fax

Practice location:
  • Phone: 724-610-8735
  • Fax:
Mailing address:
  • Phone: 724-610-8735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE RENEE PARRISH
Title or Position: FERTILITYCARE PRACTITIONER
Credential: BSN, RN, FCP
Phone: 724-610-8735