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General NPI Number Information
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NPI Number | 1962346304
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Entity Type | Organization
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Legal Business Name | SERENITY WOMEN'S HEALTHCARE LLC
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 4619 SUNFLOWER CT
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City | LAKE RIDGE
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State | VA
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Zip | 22192-6124
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Country | US
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Telephone | 571-332-9032
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Fax |
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Provider Business Mailing Address
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Address Line | 4619 SUNFLOWER CT
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City | LAKE RIDGE
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State | VA
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Zip | 22192-6124
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Country | US
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Telephone | 571-332-9032
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Fax |
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Authorized Official
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Title or Position | WOMEN'S HEALTH NURSE PRACTITIONER
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Name | MRS. ADETUTU MARIOGHAE
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Credential | WHNP-BC
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Telephone | 571-332-9032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SW0102X
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Taxonomy Name | Women's Health Clinical Nurse Specialist
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License Number |
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License Number State |
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