Healthcare Provider Details

I. General information

NPI: 1942163118
Provider Name (Legal Business Name): APRIL WATERMAN RN IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HIGH ST
BLOOMFIELD NJ
07003-5416
US

IV. Provider business mailing address

1 HIGH ST
BLOOMFIELD NJ
07003-5416
US

V. Phone/Fax

Practice location:
  • Phone: 201-600-8875
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-32743
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: