# FREMONT WOMEN'S HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fremont Womens Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255318648
- **Authorized official:** JON GREG GRIFFIN (CEO)
- **Authorized official phone:** (702) 671-6800

## Contact information

- **Practice address:** 3196 S MARYLAND PKWY, SUITE 303, LAS VEGAS, NV 89109-2305
- **Practice address phone:** (702) 383-2919
- **Practice address fax:** (702) 383-2886
- **Mailing address:** PO BOX 612, LAS VEGAS, NV 89125-0612
- **Mailing address phone:** (702) 671-6800
- **Mailing address fax:** (702) 671-6855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 2471S1302X | Sonography Radiologic Technologist | — | NULL | — |
| 2471S1302X | Sonography Radiologic Technologist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | NULL | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 01/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100501006 | — | NV |