Healthcare Provider Details
I. General information
NPI: 1609237999
Provider Name (Legal Business Name): NATURE'S BEST LACTATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2016
Last Update Date: 03/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
469 BIRNIE AVE
WEST SPRINGFIELD MA
01089-4409
US
IV. Provider business mailing address
469 BIRNIE AVE
WEST SPRINGFIELD MA
01089-4409
US
V. Phone/Fax
- Phone: 413-301-6986
- Fax:
- Phone: 413-301-6986
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WL0100X |
| Taxonomy | Lactation Consultant (Registered Nurse) |
| License Number | RN282508 |
| License Number State | MA |
VIII. Authorized Official
Name:
NEOMI
M
SEIDELL
Title or Position: RN IBCLC
Credential: RN, IBCLC
Phone: 413-301-6986