Organization
CLINIC FOR WOMEN, P.A.
Active
Organization
CLINIC FOR WOMEN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY WEST (PRACTICE ADMINISTRATOR)
(256) 533-7420
Entity
Organization
Contact information
Practice address
910 ADAMS ST SE, SUITE 300, HUNTSVILLE, AL 35801-3730
(256) 533-7420
(256) 536-4109
Mailing address
910 ADAMS ST SE, SUITE 300, HUNTSVILLE, AL 35801-3730
(256) 533-7420
(256) 536-4109
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1-037064
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-78747
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/07/2007
Last updated
08/22/2020
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