Provider Demographics
NPI:1063615813
Name:WOMEN'S HEALTH SERVICES
Entity type:Organization
Organization Name:WOMEN'S HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:304-302-7777
Mailing Address - Street 1:6468 FARMDALE RD
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-1330
Mailing Address - Country:US
Mailing Address - Phone:304-302-7777
Mailing Address - Fax:
Practice Address - Street 1:6468 FARMDALE RD
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1330
Practice Address - Country:US
Practice Address - Phone:304-302-7777
Practice Address - Fax:304-302-2689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV56363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVS86975Medicare UPIN