Healthcare Provider Details

I. General information

NPI: 1932748811
Provider Name (Legal Business Name): RACHEL M FOXX RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/25/2019
Last Update Date: 12/25/2019
Certification Date: 12/25/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 LINCOLN ST
ESSEX JCT VT
05452-3152
US

IV. Provider business mailing address

76 BARRETT ST
S BURLINGTON VT
05403-6328
US

V. Phone/Fax

Practice location:
  • Phone: 802-399-6475
  • Fax:
Mailing address:
  • Phone: 802-399-6475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number026.0037836
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-14104
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: