Healthcare Provider Details

I. General information

NPI: 1891600235
Provider Name (Legal Business Name): LAUREN ELIZABETH HUTTON RN IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN ELIZABETH WHEELER RN

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 N 14TH ST STE 3A
BISMARCK ND
58503-0697
US

IV. Provider business mailing address

403 LAREDO DR
BISMARCK ND
58504-7212
US

V. Phone/Fax

Practice location:
  • Phone: 701-581-4504
  • Fax:
Mailing address:
  • Phone: 701-581-4504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR46870
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-320653
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: