# INTEGRATED WOMEN'S HEALTH LLC

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

## Provider details

- **NPI number:** 1891231353
- **Authorized official:** TRESA WALLACE NP (OWNER)
- **Authorized official phone:** (504) 309-2576

## Contact information

- **Practice address:** 110 BELLEMEADE BLVD STE A, GRETNA, LA 70056-7142
- **Practice address phone:** (504) 309-2576
- **Practice address fax:** (504) 309-2589
- **Mailing address:** 110 BELLEMEADE BLVD STE A, GRETNA, LA 70056-7142
- **Mailing address phone:** (504) 309-2576
- **Mailing address fax:** (504) 309-2589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | AP07277 | LA | Yes |

## Other

- **Enumeration date:** 01/09/2017
- **Last updated:** 03/09/2017