MEDICARE: WOMEN'S WISDOM, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife

General Provider Information

NPI Number	:	1356892723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S WISDOM, LLC

Provider Business Mailing Address
First Line	:	7176 BLUECREST DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-2203
Country	:	US
Telephone Number	:	513-313-2068
Fax Number	:	513-536-6041

Provider Business Practice Location Address
First Line	:	5011 KENWOOD RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45227-2040
Country	:	US
Telephone Number	:	513-313-0268
Fax Number	:	513-536-6041

Authorized Official
Title or Position	:	OWNER
Name	:	PAMELA BELL
Credential	:	CPM
Telephone Number	:	513-313-2068

Provider Enumeration Date	:	10/20/2016
Last Update Date	:	10/20/2016

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Directions to “WOMEN'S WISDOM, LLC ” Practice Location

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