Provider Demographics
NPI:1124129515
Name:ABOUT WOMEN OB/GYN
Entity type:Organization
Organization Name:ABOUT WOMEN OB/GYN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:F
Authorized Official - Last Name:HATCHER-RAFFERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-878-0740
Mailing Address - Street 1:2296 OPITZ BLVD STE 440
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3355
Mailing Address - Country:US
Mailing Address - Phone:703-878-0740
Mailing Address - Fax:
Practice Address - Street 1:2296 OPITZ BLVD STE 440
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3355
Practice Address - Country:US
Practice Address - Phone:703-878-0740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101038636174400000X
VA0101040926174400000X
VA0101050991174400000X
VA0101236359174400000X
VA0101234869174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
5722OtherCARE FIRST
056482OtherANTHEM
5722OtherCARE FIRST