Healthcare Provider Details

I. General information

NPI: 1750506200
Provider Name (Legal Business Name): CATHERINE EDITH BRUNSCHWYLER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 PENNSYLVANIA AVE WOMENS MEDICINE CENTER
CHARLESTON WV
25302-3351
US

IV. Provider business mailing address

800 PENNSYLVANIA AVE WOMENS MEDICINE CENTER
CHARLESTON WV
25302-3351
US

V. Phone/Fax

Practice location:
  • Phone: 304-388-2464
  • Fax: 304-388-2668
Mailing address:
  • Phone: 304-388-2464
  • Fax: 304-388-2668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number091
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: