Provider Demographics
NPI:1093263774
Name:WOMEN'S INTUITION AND SELF HEALING, LLC
Entity Type:Organization
Organization Name:WOMEN'S INTUITION AND SELF HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:KIRSTEN
Authorized Official - Last Name:POLIZZI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:475-221-8939
Mailing Address - Street 1:764 E MAIN ST APT B
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2921
Mailing Address - Country:US
Mailing Address - Phone:475-221-8939
Mailing Address - Fax:866-223-1724
Practice Address - Street 1:764 E MAIN ST APT B
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-2921
Practice Address - Country:US
Practice Address - Phone:475-221-8939
Practice Address - Fax:866-223-1724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-12
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty