Healthcare Provider Details

I. General information

NPI: 1619384211
Provider Name (Legal Business Name): PAULA ZINDLER RN IBCLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2014
Last Update Date: 07/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 STAGE RD
CUMMINGTON MA
01026-9738
US

IV. Provider business mailing address

132 STAGE RD
CUMMINGTON MA
01026-9738
US

V. Phone/Fax

Practice location:
  • Phone: 413-212-8628
  • Fax:
Mailing address:
  • Phone: 413-212-8628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number295022
License Number StateNY

VIII. Authorized Official

Name: PAULA ZINDLER
Title or Position: RN LACTATION CONSULTANT
Credential: RN IBCLC
Phone: 413-212-8628