Healthcare Provider Details

I. General information

NPI: 1073473930
Provider Name (Legal Business Name): NOVELLA WOMEN'S HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 ROCK CLIFF DR
MARTINSBURG WV
25401-2838
US

IV. Provider business mailing address

302 ROCK CLIFF DR
MARTINSBURG WV
25401-2838
US

V. Phone/Fax

Practice location:
  • Phone: 304-944-4432
  • Fax: 304-944-4417
Mailing address:
  • Phone: 304-944-4432
  • Fax: 304-944-4417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA JUSTINE WISENALL
Title or Position: CEO/COO
Credential: DNP, MBA, APRN
Phone: 724-856-6018