MEDICARE: BIRTH & MILK, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WL0100X	Lactation Consultant (Registered Nurse)
2	174H00000X	Health Educator
3	174N00000X	Lactation Consultant (Non-RN)

General Provider Information

NPI Number	:	1871225029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIRTH & MILK, LLC

Provider Business Mailing Address
First Line	:	4407 HUNTCHASE DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20720-3560
Country	:	US
Telephone Number	:	240-244-9149
Fax Number	:

Provider Business Practice Location Address
First Line	:	4407 HUNTCHASE DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20720-3560
Country	:	US
Telephone Number	:	240-244-9149
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/EXECUTIVE DIRECTOR
Name	:	MS. CHARNISE LITTLES
Credential	:
Telephone Number	:	240-461-2599

Provider Enumeration Date	:	06/27/2022
Last Update Date	:	06/27/2022

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Directions to “BIRTH & MILK, LLC ” Practice Location

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