QUEEN CITY WOMEN'S HEALTH NPI 1316668403

NPI Information

NPI: 1316668403
Provider Name: QUEEN CITY WOMEN'S HEALTH
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Organization

Specialization: Obstetrics & Gynecology

CLIA Number: 01D2273598

Address:
108 BROAD ST
SELMA, AL
ZIP 36701
Phone: (334) 505-0873
Get Directions

QUEEN CITY WOMEN'S HEALTH is an obstetrics and gynecology nurse practitioner in Selma, AL. QUEEN CITY WOMEN'S HEALTH NPI is 1316668403. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

108 BROAD ST
SELMA, AL
ZIP 36701-639
Phone: (334) 505-0873

The provider's authorized official is Courtney Camille Carter .
The authorized official title is Nurse Practitioner/owner and has the following contact phone number (334) 505-0873.

The CLIA number assigned to this NPI record is 01D2273598 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2022 and was last updated on 9/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health			No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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