The Modern Woman Health & Wellness Center Pllc
NPI #1801599295 in Wolcott, Connecticut
Provider Information
- NPI Number
- 1801599295
- Entity Type
- Organization
- Organization Name
- The Modern Woman Health & Wellness Center Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 23, 2023
- Last Updated
- Mar 29, 2023
Practice Location
- Address
- 504 WOLCOTT RD STE C
- City
- Wolcott
- State
- Connecticut
- ZIP Code
- 06716-2462
- Phone
- (203) 504-9507
Authorized Official
- Name
- DR. SHIVANNA SUBRAMANI-GONZALEZ, DNP-FNPC
- Title
- CMO / OWNER
- Phone
- (203) 725-5339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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