=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235934506
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UPPER VALLEY WOMEN'S HEALTH PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2025
-----------------------------------------------------
Last Update Date | 02/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 108 N MAIN ST
-----------------------------------------------------
City | WHITE RIVER JUNCTION
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05001-7056
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-471-3589
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7 DAYTON DR
-----------------------------------------------------
City | HANOVER
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03755-2425
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-415-5960
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | APRN
-----------------------------------------------------
Name | ALEXANDRA H. WOOLLEY
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 207-415-5960
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LW0102X
-----------------------------------------------------
Taxonomy Name | Women's Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------