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General NPI Number Information
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NPI Number | 1073473930
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Entity Type | Organization
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Legal Business Name | NOVELLA WOMEN'S HEALTH PLLC
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 302 ROCK CLIFF DR
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City | MARTINSBURG
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State | WV
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Zip | 25401-2838
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Country | US
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Telephone | 304-944-4432
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Fax | 304-944-4417
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Provider Business Mailing Address
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Address Line | 302 ROCK CLIFF DR
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City | MARTINSBURG
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State | WV
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Zip | 25401-2838
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Country | US
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Telephone | 304-944-4432
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Fax | 304-944-4417
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Authorized Official
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Title or Position | CEO/COO
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Name | ALEXANDRA JUSTINE WISENALL
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Credential | DNP, MBA, APRN
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Telephone | 724-856-6018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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