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NPI Code Detail

MEDICARE: BEULAH WOMENS HEALTH LLC

MEDICARE: BEULAH WOMENS HEALTH 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
1363LW0102XWomen's Health Nurse Practitioner

General Provider Information

NPI Number : 1679369094
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEULAH WOMENS HEALTH LLC
Provider Business Mailing Address
First Line : 1500 CHESTNUT ST STE 2
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-2700
Country : US
Telephone Number : 215-484-4152
Fax Number : 215-610-5958
Provider Business Practice Location Address
First Line : 1500 CHESTNUT ST STE 2
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-2700
Country : US
Telephone Number : 215-484-4152
Fax Number : 215-610-5958
Authorized Official
Title or Position : DNP, WHNP-BC
Name : OBOT GRACE TIGAH
Credential :
Telephone Number : 215-459-9480
Provider Enumeration Date : 04/15/2025
Last Update Date : 01/15/2026

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Directions to “BEULAH WOMENS HEALTH LLC ” Practice Location

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