MEDICARE: WOMEN'S HEALTH PROJECT, INC.

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	174400000X	Specialist	16606	IA
2	363LW0102X	Women's Health Nurse Practitioner	F-077233	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366411035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S HEALTH PROJECT, INC.

Provider Business Mailing Address
First Line	:	227 N DUBUQUE ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-1714
Country	:	US
Telephone Number	:	319-337-2111
Fax Number	:	319-337-2754

Provider Business Practice Location Address
First Line	:	227 N DUBUQUE ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-1714
Country	:	US
Telephone Number	:	319-337-2111
Fax Number	:	319-337-2754

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JENNIFER LEA PRICE
Credential	:
Telephone Number	:	319-337-2112

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	04/02/2014

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