Organization
INNOVATIVE WOMEN'S HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA KAYE YOUNG CNM, PMHNP-BC (OWNER/MANAGER)
(618) 444-5475
Entity
Organization
Contact information
Practice address
2016 VADALABENE DR STE D, MARYVILLE, IL 62062-6901
(618) 444-5475
Mailing address
1087 IL ROUTE 127, GREENVILLE, IL 62246-3041
(618) 444-5475
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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