Provider Demographics
NPI:1225914997
Name:WISE WOMEN HEALTH AND WELLNESS
Entity type:Organization
Organization Name:WISE WOMEN HEALTH AND WELLNESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:KENT
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:304-886-9179
Mailing Address - Street 1:184 LUTZ AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25404-6359
Mailing Address - Country:US
Mailing Address - Phone:304-207-0507
Mailing Address - Fax:304-398-8824
Practice Address - Street 1:184 LUTZ AVE
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25404-6359
Practice Address - Country:US
Practice Address - Phone:304-207-0507
Practice Address - Fax:304-398-8824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-15
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty