Organization
WOMENS HEALTH & WELLNESS MEDICAL OFFICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE R BROAD RNP (OWNER)
(951) 304-3180
Entity
Organization
Contact information
Practice address
40700 CALIFORNIA OAKS RD, STE. 205, MURRIETA, CA 92562-5789
(951) 304-3180
(951) 304-2735
Mailing address
40700 CALIFORNIA OAKS RD, STE. 205, MURRIETA, CA 92562-5789
(951) 304-3180
(951) 304-2735
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
428809
CA
363LW0102X
Women's Health Nurse Practitioner
428809
CA
Other
Enumeration date
03/13/2007
Last updated
12/15/2015
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