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WELLNESS FOR WOMEN PLLC NPI 1205495793


NPI Information

NPI: 1205495793
Provider Name: WELLNESS FOR WOMEN PLLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

CLIA Number: 20D2167566

Address:
50 PORTLAND RD STE 4
KENNEBUNK, ME
ZIP 04043
Phone: (207) 502-7400
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WELLNESS FOR WOMEN PLLC is a gynecology obstetrics gynecology in Kennebunk, ME. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee WELLNESS FOR WOMEN PLLC NPI is 1205495793. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

50 PORTLAND RD STE 4
KENNEBUNK, ME
ZIP 04043-789
Phone: (207) 502-7400
Fax: (207) 569-0012

The provider's authorized official is Lisa Dries .
The authorized official title is Owner/provider and has the following contact phone number (207) 467-5588.

The CLIA number assigned to this NPI record is 20D2167566 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/10/2019 and was last updated on 10/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1433002499MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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