Organization
MANASSAS MIDWIFERY AND WOMEN'S HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA LYNN MATHIS CNM (OWNER/CEO)
(703) 330-3285
Entity
Organization
Contact information
Practice address
8424 DORSEY CIR, SUITE 101, MANASSAS, VA 20110-8301
(703) 330-3285
Mailing address
8424 DORSEY CIR, SUITE 101, MANASSAS, VA 20110-8301
(703) 330-3285
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0024167746
VA
367A00000X
Advanced Practice Midwife
0024167746
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760620892
NPPES
VA
Enumeration date
12/10/2009
Last updated
12/10/2009
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