| Organization Name: | LADYS CHOICE LLC |
| NPI Number: | 1710026117 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHIRLEY E WHITEHEAD (OWNER) |
| Mailing Address: | 728 E White Mtn Blvd Suite C Pinetop |
| State: | AZ US |
| Postal Code: | 859352130 |
| Phone Number: | 9283674257 |
| Fax Number: | 9283674361 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 08/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | RN071478 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |