Provider Demographics
NPI:1770922528
Name:ISHERWOOD'S WOMEN'S HEALTH & WELLNESS, LLC
Entity type:Organization
Organization Name:ISHERWOOD'S WOMEN'S HEALTH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:ISHERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:717-793-3277
Mailing Address - Street 1:1934 SECURITY DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4727
Mailing Address - Country:US
Mailing Address - Phone:717-793-3277
Mailing Address - Fax:
Practice Address - Street 1:1934 SECURITY DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4727
Practice Address - Country:US
Practice Address - Phone:717-793-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP005947V/RN326285L363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty