Healthcare Provider Details

I. General information

NPI: 1700798097
Provider Name (Legal Business Name): CHRISTE ANNE WEDLUND BSN, RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 E HILL RD
MIDDLESEX VT
05602-8757
US

IV. Provider business mailing address

515 E HILL RD
MIDDLESEX VT
05602-8757
US

V. Phone/Fax

Practice location:
  • Phone: 802-461-5373
  • Fax:
Mailing address:
  • Phone: 802-461-5373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-311613
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: