Healthcare Provider Details

I. General information

NPI: 1306902531
Provider Name (Legal Business Name): WOMANCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 LYONS AVE
CHARLOTTESVILLE VA
22902-4310
US

IV. Provider business mailing address

730 LYONS AVE
CHARLOTTESVILLE VA
22902-4310
US

V. Phone/Fax

Practice location:
  • Phone: 434-296-3332
  • Fax: 434-296-3332
Mailing address:
  • Phone: 434-296-3332
  • Fax: 434-296-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0024097300
License Number StateVA

VIII. Authorized Official

Name: CLAUDIA SENCER
Title or Position: CNM
Credential: CNM
Phone: 434-296-3332