Provider Demographics
NPI:1154693547
Name:NOURISHING WOMEN CORP
Entity type:Organization
Organization Name:NOURISHING WOMEN CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEONOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MURCIANO-CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:954-274-7765
Mailing Address - Street 1:10031 PINES BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6179
Mailing Address - Country:US
Mailing Address - Phone:954-450-4548
Mailing Address - Fax:
Practice Address - Street 1:10031 PINES BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6179
Practice Address - Country:US
Practice Address - Phone:954-450-4548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1000171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty