Provider Demographics
NPI:1700084365
Name:ADVANCED WOMEN'S HEALTH CARE, P.C.
Entity Type:Organization
Organization Name:ADVANCED WOMEN'S HEALTH CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ELGUERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-988-9898
Mailing Address - Street 1:13890 BRADDOCK RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2435
Mailing Address - Country:US
Mailing Address - Phone:703-988-9898
Mailing Address - Fax:703-988-0033
Practice Address - Street 1:13890 BRADDOCK RD
Practice Address - Street 2:SUITE 103
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2435
Practice Address - Country:US
Practice Address - Phone:703-988-9898
Practice Address - Fax:703-988-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101056531174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA491768Medicare UPIN