Tammie McDonald Brouwer

Welcome to Plena Integrative Health Center. Im Tammie McDonald Brouwer, a Certified Nurse Midwife and Women's Health Nurse Practitioner, who has lived in Virginias Shenandoah Valley since 1997.



After a 14-year career providing office-based healthcare for women, as well as attending them at birth, it has become clear to me that women value and desire personalized, holistic care. I dreamed of forming a practice where I could focus on providing this integrated, woman-centered care. To intentionally direct my practice towards Womens Health, I have retired from Obstetrics and will not offer prenatal care or birthing services.



How can Plena Integrative Health Center meet your Womens Health needs? We offer gynecological services such as Pap smears, contraceptive counseling including placement of IUDs or Nexplanon, STD testing and treatment, as well screening and treatment for urinary tract infections, vaginitis, and pelvic floor issues. If an abnormal Pap smear is detected, we can perform colposcopy with appropriate follow up. Additionally, we can evaluate abnormal uterine bleeding and postmenopausal bleeding using endometrial biopsy.



Plena Integrative Health Center can also meet your general Womens Health needs with yearly physical exams including lab work and sports physicals. As a Nurse Practitioner I am qualified to manage acute respiratory infections, thyroid problems, hypertension, and early onset diabetes. My training includes counseling in herbal medicine for painful periods or menopausal symptoms, as well as support for mood disorders, where I can incorporate medication as needed.



Towards our goal of providing personalized, holistic care Plena Integrative Health Center offer's chiropractic services, counseling, and massage therapy.

Tammie McDonald-Brouwer CNM WHNP-BC