Provider Demographics
NPI:1699535344
Name:WOMEN'S HEALTH AND BIRTH CENTER
Entity type:Organization
Organization Name:WOMEN'S HEALTH AND BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, CERTIFIED NURSE MIDWIFE
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP CNM
Authorized Official - Phone:801-695-1318
Mailing Address - Street 1:226 ASHVILLE AVE STE 20
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-6660
Mailing Address - Country:US
Mailing Address - Phone:919-322-0284
Mailing Address - Fax:
Practice Address - Street 1:226 ASHVILLE AVE STE 20
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6660
Practice Address - Country:US
Practice Address - Phone:919-322-0284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty