# WOMEN'S WELLNESS CENTER, PC

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

## Provider details

- **NPI number:** 1245298934
- **Authorized official:** KELLY S MCMAHON (ADMINISTRATIVE ASSISTAN)
- **Authorized official phone:** (319) 233-3044

## Contact information

- **Practice address:** 777 MAZZUCHELLI PL, DUBUQUE, IA 52001-7359
- **Practice address phone:** (563) 588-0011
- **Practice address fax:** (563) 588-0595
- **Mailing address:** PO BOX 2400, WATERLOO, IA 50704-2400
- **Mailing address phone:** (319) 233-3044
- **Mailing address fax:** (319) 233-0722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 38510 | BLUE SHIELD | IA |