| Women To Women | |
|
400 3rd Ave Park Office Building 208 209 Kingston PA 18704-5816 | |
| (570) 714-5800 | |
| (570) 714-0473 |
| Full Name | Women To Women |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 400 3rd Ave, Kingston, Pennsylvania |
| Authorized Official Name and Position | Cheryl Fuller (OWNER) |
| Authorized Official Contact | 5707145880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Women To Women 400 3rd Ave Park Office Building 208 209 Kingston PA 18704-5816 Ph: (570) 714-5800 | Women To Women 400 3rd Ave Park Office Building 208 209 Kingston PA 18704-5816 Ph: (570) 714-5800 |
| NPI Number | 1013135284 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 12/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013135284 | NPI | - | NPPES |
| 1007767610002 | Medicaid | PA | |
| 1007767610007 | Medicaid | PA | |
| 1007767610004 | Medicaid | PA | |
| 1007767610008 | Medicaid | PA | |
| 100776761 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | TP000953B (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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