Healthcare Provider Details

I. General information

NPI: 1063371672
Provider Name (Legal Business Name): COURTNEY STUHLMAN RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10418 MATTOON RD
PRATTSBURGH NY
14873-9487
US

IV. Provider business mailing address

10418 MATTOON RD
PRATTSBURGH NY
14873-9487
US

V. Phone/Fax

Practice location:
  • Phone: 315-717-2387
  • Fax:
Mailing address:
  • Phone: 315-717-2387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number733498
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: