Provider Demographics
NPI:1689707028
Name:BIRTHCARE AND WOMEN'S HEALTH, LTD
Entity type:Organization
Organization Name:BIRTHCARE AND WOMEN'S HEALTH, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLE ANNALISE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHNETZLER
Authorized Official - Suffix:
Authorized Official - Credentials:DM, CM, FACNM
Authorized Official - Phone:571-309-0155
Mailing Address - Street 1:1501 KING ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2716
Mailing Address - Country:US
Mailing Address - Phone:703-549-5070
Mailing Address - Fax:703-549-4821
Practice Address - Street 1:1501 KING ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2716
Practice Address - Country:US
Practice Address - Phone:703-549-5070
Practice Address - Fax:703-549-4821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG01647Medicare ID - Type UnspecifiedGROUP NUMBER