Provider Demographics
| NPI: | 1003507062 | 
|---|---|
| Name: | WOMEN INTENDED FOR EXCELLENCE INC | 
| Entity type: | Organization | 
| Organization Name: | WOMEN INTENDED FOR EXCELLENCE INC | 
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DIRECTOR OF OPERATIONS | 
| Authorized Official - Prefix: | MR | 
| Authorized Official - First Name: | JOSEPH | 
| Authorized Official - Middle Name: | N | 
| Authorized Official - Last Name: | BROWNE | 
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 646-926-1481 | 
| Mailing Address - Street 1: | 70 N MAIN ST UNIT 2 | 
| Mailing Address - Street 2: | |
| Mailing Address - City: | FREEPORT | 
| Mailing Address - State: | NY | 
| Mailing Address - Zip Code: | 11520-2245 | 
| Mailing Address - Country: | US | 
| Mailing Address - Phone: | 646-926-1481 | 
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 70 N MAIN ST UNIT 2 | 
| Practice Address - Street 2: | |
| Practice Address - City: | FREEPORT | 
| Practice Address - State: | NY | 
| Practice Address - Zip Code: | 11520-2245 | 
| Practice Address - Country: | US | 
| Practice Address - Phone: | 646-926-1481 | 
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> | 
| Is Organization Subpart?: | No | 
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-05-18 | 
| Last Update Date: | 2023-05-18 | 
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: | 
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group | 
|---|---|---|---|---|---|
| Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |