Provider Demographics
NPI:1851086169
Name:TOTAL INTEGRATED WOMEN'S HEALTH NP PLLC
Entity Type:Organization
Organization Name:TOTAL INTEGRATED WOMEN'S HEALTH NP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:R
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:914-574-4535
Mailing Address - Street 1:51 BOCKET RD
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-2802
Mailing Address - Country:US
Mailing Address - Phone:914-574-4535
Mailing Address - Fax:
Practice Address - Street 1:180 S BROADWAY STE 207
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1845
Practice Address - Country:US
Practice Address - Phone:914-574-4535
Practice Address - Fax:914-574-4535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty