# WOMEN TO WOMEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013135284
- **Authorized official:** MS. CHERYL FULLER CRNP (OWNER)
- **Authorized official phone:** (570) 714-5880

## Contact information

- **Practice address:** 400 3RD AVE, PARK OFFICE BUILDING 208 209, KINGSTON, PA 18704-5816
- **Practice address phone:** (570) 714-5800
- **Practice address fax:** (570) 714-0473
- **Mailing address:** 400 3RD AVE, PARK OFFICE BUILDING 208 209, KINGSTON, PA 18704-5816
- **Mailing address phone:** (570) 714-5800
- **Mailing address fax:** (570) 714-0473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | TP000953B | PA | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 12/17/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100776761 | — | PA |
| 05 | — | 1007767610002 | — | PA |
| 05 | — | 1007767610004 | — | PA |
| 05 | — | 1007767610007 | — | PA |
| 05 | — | 1007767610008 | — | PA |