Organization
NOVA WOMEN'S HEALTH COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY AVERILL CPM, LM (MIDWIFE)
(760) 889-2857
Entity
Organization
Contact information
Practice address
7011 CALAMO ST STE 204, SPRINGFIELD, VA 22150-3510
(703) 829-6299
(703) 563-9226
Mailing address
10734 MAPLE ST, FAIRFAX, VA 22030-5122
(760) 889-2857
(703) 563-9226
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
01290000126
VA
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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