Organization
WITH WOMEN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE KILLINGSWORTH CNM (MANAGER)
(888) 607-0046
Entity
Organization
Contact information
Practice address
87 CHURCH ST, SUITE 204, EAST HARTFORD, CT 06108-3720
(888) 607-0046
(888) 690-0088
Mailing address
PO BOX 280822, EAST HARTFORD, CT 06128-0822
(888) 607-0046
(888) 690-0088
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
16000345
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004214384
—
CT
05
—
008023951
—
CT
01
—
1447540810
INDIVIDUAL NPI
—
01
—
1972811859
INDIVIDUAL NPI
—
Enumeration date
07/27/2014
Last updated
02/10/2015
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