Organization
WOMENS MEDICAL HEALTH CENTER INC
Active
Other names
WOMENS MEDICAL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE RUTH HENSON ANP (OWNER/NP)
(928) 505-5300
Entity
Organization
Contact information
Practice address
1956 MESQUITE AVE, SUITE 103, LAKE HAVASU CITY, AZ 86403-5888
(928) 505-5300
(928) 505-2333
Mailing address
1956 MESQUITE AVE, SUITE 103, LAKE HAVASU CITY, AZ 86403-5888
(928) 505-5300
(928) 505-2333
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AZNP54
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333253
—
AZ
01
—
AZ0153580
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
04/19/2006
Last updated
08/22/2020
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