Organization
OVUM MEDICAL, LLC
Active
Organization
OVUM MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE CRISCI BS (CEO)
(310) 927-1017
Entity
Organization
Contact information
Practice address
929 IRISH RD, SAGLE, ID 83860-5031
(208) 217-1102
Mailing address
929 IRISH RD, SAGLE, ID 83860-5031
(208) 217-1102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
163WC0400X
Case Management Registered Nurse
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
163WX0002X
High-Risk Obstetric Registered Nurse
—
—
170100000X
Ph.D. Medical Genetics
—
—
170300000X
Genetic Counselor (M.S.)
—
—
207QA0505X
Adult Medicine Physician
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
207VC0300X
Complex Family Planning Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
208800000X
Urology Physician
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
03/06/2023
Last updated
12/29/2023
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