=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235573031
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WOMEN'S ASSOCIATES, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2013
-----------------------------------------------------
Last Update Date | 04/23/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1015 E PIKES PEAK AVE STE 100
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80903-5700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-473-2424
-----------------------------------------------------
Fax | 719-227-1475
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1015 E PIKES PEAK AVE STE 100
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80903-5700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-473-2424
-----------------------------------------------------
Fax | 719-227-1475
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRACTICE MANAGER
-----------------------------------------------------
Name | VALERIE CHAVEZ
-----------------------------------------------------
Credential | CMM
-----------------------------------------------------
Telephone | 719-473-2424
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------