Healthcare Provider Details

I. General information

NPI: 1689707028
Provider Name (Legal Business Name): BIRTHCARE AND WOMEN'S HEALTH, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 05/04/2024
Certification Date: 05/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 KING ST
ALEXANDRIA VA
22314-2716
US

IV. Provider business mailing address

1501 KING ST
ALEXANDRIA VA
22314-2716
US

V. Phone/Fax

Practice location:
  • Phone: 703-549-5070
  • Fax: 703-549-4821
Mailing address:
  • Phone: 703-549-5070
  • Fax: 703-549-4821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: DR. ELLE ANNALISE L SCHNETZLER
Title or Position: DIRECTOR
Credential: DM, CM, FACNM
Phone: 571-309-0155