Healthcare Provider Details

I. General information

NPI: 1508115247
Provider Name (Legal Business Name): DEBORAH GAIL ALBERT PH.D, BSN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2012
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TRANCAS ST
NAPA CA
94558-2906
US

IV. Provider business mailing address

290 SOARING HAWK LN
SACRAMENTO CA
95833-3790
US

V. Phone/Fax

Practice location:
  • Phone: 530-796-1017
  • Fax:
Mailing address:
  • Phone: 916-477-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number840286
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: