Provider Demographics
NPI:1992991640
Name:WOMEN'S HEALTHCARE & WELLNESS PA
Entity type:Organization
Organization Name:WOMEN'S HEALTHCARE & WELLNESS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SCHMUTZLER
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:479-236-8540
Mailing Address - Street 1:21979 BELL LN
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-7572
Mailing Address - Country:US
Mailing Address - Phone:479-236-8540
Mailing Address - Fax:
Practice Address - Street 1:21979 BELL LN
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-7572
Practice Address - Country:US
Practice Address - Phone:479-236-8540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center