Healthcare Provider Details

I. General information

NPI: 1134841323
Provider Name (Legal Business Name): BUTTERFLY BREASTFEEDING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2022
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 VIDETTE LANE SE
OWENS CROSS ROADS AL
35763-8893
US

IV. Provider business mailing address

7301 VIDETTE LANE SE
OWENS CROSS ROADS AL
35763-8893
US

V. Phone/Fax

Practice location:
  • Phone: 256-975-4566
  • Fax:
Mailing address:
  • Phone: 256-975-4566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: FAITH APPLETON
Title or Position: LACTATION CONSULTANT
Credential: RN, IBCLC
Phone: 256-975-4566