Healthcare Provider Details

I. General information

NPI: 1336846112
Provider Name (Legal Business Name): TRIANGLE MINDFUL BIRTHING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 02/13/2023
Certification Date: 02/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 WINTHROP CT
DURHAM NC
27707-5441
US

IV. Provider business mailing address

12 WINTHROP CT
DURHAM NC
27707-5441
US

V. Phone/Fax

Practice location:
  • Phone: 919-389-3080
  • Fax:
Mailing address:
  • Phone: 919-389-3080
  • Fax: 919-389-3080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LORRAINE ROCCO
Title or Position: CLINICAL DIRECTOR
Credential: RN, IBCLC
Phone: 919-389-3080