Healthcare Provider Details

I. General information

NPI: 1891600284
Provider Name (Legal Business Name): EMBRACE WOMEN'S HEALTHCARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 SAINT PAUL ST UNIT 301
BURLINGTON VT
05401-4992
US

IV. Provider business mailing address

PO BOX 4145
BURLINGTON VT
05406-4145
US

V. Phone/Fax

Practice location:
  • Phone: 405-982-3639
  • Fax:
Mailing address:
  • Phone: 802-735-9779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BETHANY COOK
Title or Position: OWNER
Credential: APRN
Phone: 405-982-3639