Wholistic Health For Women
Obstetrics & Gynecology Nurse Practitioner in Rosenburg, OR(View on Map)
Legal Business Name
Wholistic Health For Women
NPI Number
1104074459
NPI Type
Organization
Enumeration Date
08/28/2008
Specialties
(Taxonomies)Name
Code
363LX0001X
171100000X
261Q00000X
208D00000X
363L00000X
163WN1003X
133N00000X
Primary Taxonomy
Yes
No
No
No
No
No
No
Licenses
State
California
California
California
License Number
RN456541NP5830
AC5147
C51231
Contact
Information
Purpose
Mailing
Location
Address
909 CURRY RD
909 CURRY ROAD
City
Roseburg
Rosenburg
State
OR
OR
Postal Code
97471-8508
97471-8508
Country
US
US
Telephone Number
(619) 260-0810
(619) 260-0810
Authorized Official
Name
Ms. Suzann Gage
Title or Position
PRESIDENT AND EXECUTIVE DIRECTOR
Telephone Number
(619) 260-0810
Identifiers
Identifier
11881456
Identifier State
CA
Identifier Issuer
BLUE CROSS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/28/2022