Organization Name: | SIMPLY WOMENS HEALTH LLC |
NPI Number: | 1013256379 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE TERRELL (CEO) |
Mailing Address: | 2273 E Gala St Suite 110 Meridian |
State: | ID US |
Postal Code: | 836427289 |
Phone Number: | 2089954449 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2013 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | N-27344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |