Provider Demographics
NPI:1750508735
Name:WOMEN'S HEALTHCAE CONNECTION
Entity Type:Organization
Organization Name:WOMEN'S HEALTHCAE CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:INAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANIS
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:818-587-9200
Mailing Address - Street 1:7111 WINNETKA AVE
Mailing Address - Street 2:# 6
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91306-3646
Mailing Address - Country:US
Mailing Address - Phone:818-587-9200
Mailing Address - Fax:818-587-9201
Practice Address - Street 1:7111 WINNETKA AVE
Practice Address - Street 2:# 6
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91306-3646
Practice Address - Country:US
Practice Address - Phone:818-587-9200
Practice Address - Fax:818-587-9201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN461744 8797363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Single Specialty