Provider Demographics
NPI:1295865848
Name:NEW BEGINNINGS HEALTHCARE FOR WOMEN LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS HEALTHCARE FOR WOMEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANA
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLAIANNI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:570-329-2273
Mailing Address - Street 1:1017 ONE HALF WASHINGTON BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-0000
Mailing Address - Country:US
Mailing Address - Phone:570-329-2273
Mailing Address - Fax:570-329-2283
Practice Address - Street 1:1017 ONE HALF WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-0000
Practice Address - Country:US
Practice Address - Phone:570-329-2273
Practice Address - Fax:570-329-2283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP00317A363LP2300X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA49128216401Medicaid
PA49128216401Medicaid
PAC0712013Medicare ID - Type Unspecified