THE MODERN WOMAN HEALTH & WELLNESS CENTER PLLC
NPI 1801599295
Nurse Practitioner - Family in Wolcott, CT

Active since March 23, 2023
504 WOLCOTT RD STE C, WOLCOTT, CT 06716(203) 504-9507 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2023, Mar 23, 2023 (2 updates tracked since 2023).

About The Modern Woman Health & Wellness Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE MODERN WOMAN HEALTH & WELLNESS CENTER PLLC (NPI 1801599295) is a healthcare organization registered as a family in Wolcott, Connecticut and active in the NPI registry since March 2023. The organization lists Shivanna Subramani-gonzalez, Cmo / Owner, as its authorized official.

NPPES Registry Identity

NPI1801599295
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHE MODERN WOMAN HEALTH & WELLNESS CENTER PLLC
Location Address504 WOLCOTT RD STE CWolcott, CT 06716-2462
Mailing Address504 Wolcott Rd Ste CWolcott, CT 06716-2462 · (203) 504-9507
Organization SubpartNo
Authorized OfficialShivanna Subramani-gonzalezCmo / Owner · (203) 725-5339
Enumeration DateMarch 23, 2023
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
NPI 1801599295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
504 WOLCOTT RD STE C, Wolcott, CT 06716

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
504 WOLCOTT RD STE C
WOLCOTT, CT 06716
Counselor (Mental Health)
504 WOLCOTT RD STE C
WOLCOTT, CT 06716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Modern Woman Health & Wellness Center PLLC's NPI number?

The NPI number for The Modern Woman Health & Wellness Center PLLC is 1801599295. It was assigned to this organization in the NPPES registry on March 23, 2023.

Where is The Modern Woman Health & Wellness Center PLLC located?

The Modern Woman Health & Wellness Center PLLC is located at 504 Wolcott Rd Ste C, Wolcott, CT 06716. The listed phone number is (203) 504-9507.

What is The Modern Woman Health & Wellness Center PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for The Modern Woman Health & Wellness Center PLLC was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.