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A WOMANS LIFE FAMILY HEALTH CARE CENTER LLC NPI 1487789152


NPI Information

NPI: 1487789152
Provider Name: A WOMANS LIFE FAMILY HEALTH CARE CENTER LLC

Doing Business As: A.W.L. FAMILY HEALTH CARE CENTER

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1435 N MOUNT AUBURN RD
SUITE 200
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 334-7006
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A WOMANS LIFE FAMILY HEALTH CARE CENTER LLC is a family nurse practitioner in Cape Girardeau, MO. A WOMANS LIFE FAMILY HEALTH CARE CENTER LLC NPI is 1487789152. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As A.w.l. Family Health Care Center.

The provider's business location address is:

1435 N MOUNT AUBURN RD
SUITE 200
CAPE GIRARDEAU, MO
ZIP 63701-171
Phone: (573) 334-7006
Fax: (573) 334-7090

The provider's authorized official is Dolores J Mcdowell .
The authorized official title is Owner and has the following contact phone number (573) 334-7006.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 10/19/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily126562MISSOURINo
2363LF0000XNurse PractitionerFamily119283MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A11684MEDICARE UPINMISSOURI
2P69119MEDICARE UPINMISSOURI
3263912MEDICARE OSCAR/CERTIFICATIONMISSOURI
4P53604MEDICARE UPINMISSOURI
5595400003MEDICAIDMISSOURI

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: 4/28/2024

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