Active NPIOrganization

The Modern Woman Health & Wellness Center PLLC

Nurse Practitioner, Family in Wolcott, Connecticut

NPI Number1801599295
Practice location
504 Wolcott RD Ste C, Wolcott, CT 06716-2462
Fax
—
Last updated
March 29, 2023

The Modern Woman Health & Wellness Center PLLC is a healthcare organization based in Wolcott, CT. The Modern Woman Health & Wellness Center PLLC practices in Wolcott, CT. The NPI Number for The Modern Woman Health & Wellness Center PLLC is 1801599295. The current practice location address for The Modern Woman Health & Wellness Center PLLC is 504 Wolcott RD Ste C, Wolcott, CT 06716-2462 and can be reached out via phone at 203-504-9507.

Provider Profile Details

NPI Number
1801599295
Provider Name
The Modern Woman Health & Wellness Center PLLC
Provider Entity Type
Organization
Address
504 Wolcott RD Ste C, Wolcott, CT 06716-2462
Phone Number
203-504-9507
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Organization Subpart
No
Authorized Official
Dr. Shivanna Subramani-Gonzalez, DNP-FNPC · Cmo / Owner · 203-725-5339
Provider Enumeration Date
March 23, 2023
Last Update Date
March 29, 2023
Certification Date
March 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
504 Wolcott RD Ste C
Wolcott, CT 06716-2462
Zip
06716-2462
Phone Number
203-504-9507
Wolcott, CT 06716Get directions →

Provider Business Mailing Address Details

Address
504 Wolcott RD Ste C
Wolcott, CT 06716-2462
City
Wolcott
State
CT
Zip
06716-2462
Phone Number
203-504-9507

License Information

Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of The Modern Woman Health & Wellness Center PLLC?

The NPI number of The Modern Woman Health & Wellness Center PLLC is 1801599295. It was assigned on March 23, 2023 and is currently active in the NPPES registry.

What is the specialty of The Modern Woman Health & Wellness Center PLLC?

The Modern Woman Health & Wellness Center PLLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).

Where does The Modern Woman Health & Wellness Center PLLC practice?

The practice location is 504 Wolcott RD Ste C, Wolcott, CT 06716-2462. The office can be reached at 203-504-9507 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801599295 directly on the NPPES registry website.

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