Provider Demographics
NPI:1346025509
Name:PLENA INTEGRATIVE HEALTH CENTER
Entity Type:Organization
Organization Name:PLENA INTEGRATIVE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMECHIEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCDONALD-BROUWER
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:540-383-7460
Mailing Address - Street 1:119 UNIVERSITY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3753
Mailing Address - Country:US
Mailing Address - Phone:540-383-7460
Mailing Address - Fax:
Practice Address - Street 1:119 UNIVERSITY BLVD STE B
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3753
Practice Address - Country:US
Practice Address - Phone:540-383-7460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty