Healthcare Provider Details

I. General information

NPI: 1548508088
Provider Name (Legal Business Name): EMILIE HOFFMAN DELESTIENNE MPH, LCCE, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 02/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7104 WILLARD ST
PITTSBURGH PA
15208-2910
US

IV. Provider business mailing address

7104 WILLARD ST
PITTSBURGH PA
15208-2910
US

V. Phone/Fax

Practice location:
  • Phone: 412-334-3273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-132194
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: