| Willow Womens Health Llc | |
|
15 Southmoor Cir Ne Kettering OH 45429-2451 | |
| (937) 240-2100 | |
| (937) 240-2004 |
| Full Name | Willow Womens Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Southmoor Cir Ne, Kettering, Ohio |
| Authorized Official Name and Position | Laura Valle (OWNWER) |
| Authorized Official Contact | 9372402100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Womens Health Llc 15 Southmoor Cir Ne Kettering OH 45429-2451 Ph: (937) 240-2100 | Willow Womens Health Llc 15 Southmoor Cir Ne Kettering OH 45429-2451 Ph: (937) 240-2100 |
| NPI Number | 1275201063 |
|---|---|
| Provider Enumeration Date | 09/06/2021 |
| Last Update Date | 09/21/2021 |
| Medicare PECOS PAC ID | 7113315383 |
|---|---|
| Medicare Enrollment ID | O20211021001406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275201063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Laura Jeanne Valle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740544717 PECOS PAC ID: 6406005834 Enrollment ID: I20191114000218 |
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