Provider Demographics
NPI:1649559931
Name:PHOENIX WOMENS HEALTH LLC
Entity Type:Organization
Organization Name:PHOENIX WOMENS HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZANIA
Authorized Official - Middle Name:ANTONETTE
Authorized Official - Last Name:NARCISSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-990-9106
Mailing Address - Street 1:4650 WHITESBURG DR SW STE 203
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1671
Mailing Address - Country:US
Mailing Address - Phone:256-382-5210
Mailing Address - Fax:877-271-7585
Practice Address - Street 1:4650 WHITESBURG DR SW STE 203
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802
Practice Address - Country:US
Practice Address - Phone:256-382-5210
Practice Address - Fax:877-271-7585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty