WOMEN'S WELLNESS CLINIC NPI 1316613037

NPI Information

  • NPI: 1316613037
  • Provider Name: WOMEN'S WELLNESS CLINIC
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Organization
  • CLIA Number: 15D2244686
  • Address: 2705 ENTERPRISE DR # 5
    ANDERSON, IN
    ZIP 46013
  • Phone: (765) 393-1965

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NPI Details

WOMEN'S WELLNESS CLINIC is a women's health nurse practitioner in Anderson, IN. WOMEN'S WELLNESS CLINIC NPI is 1316613037. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2705 ENTERPRISE DR # 5
ANDERSON, IN
ZIP 46013-670
Phone: (765) 393-1965

The provider's authorized official is Melissa A Matthews .
The authorized official title is Owner and has the following contact phone number (765) 393-1965.

The CLIA number assigned to this NPI record is 15D2244686 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2021 and was last updated on 7/13/2023.

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
1363LW0102XNurse PractitionerWomen's HealthYes

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: 11/21/2025

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