Provider Demographics
NPI:1841391216
Name:FULL CIRCLE WOMEN'S HEALTH, PC
Entity Type:Organization
Organization Name:FULL CIRCLE WOMEN'S HEALTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STADLER
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:802-763-7713
Mailing Address - Street 1:PO BOX 119
Mailing Address - Street 2:79 SOUTH WINDSOR ST
Mailing Address - City:SOUTH ROYALTON
Mailing Address - State:VT
Mailing Address - Zip Code:05068-0119
Mailing Address - Country:US
Mailing Address - Phone:802-763-7713
Mailing Address - Fax:
Practice Address - Street 1:79 SOUTH WINDSOR ST
Practice Address - Street 2:
Practice Address - City:SOUTH ROYALTON
Practice Address - State:VT
Practice Address - Zip Code:05068
Practice Address - Country:US
Practice Address - Phone:802-763-7713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty