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NPI Code Detail

MEDICARE: EMILY K MUNRO NGO RN, PHN, IBCLC

MEDICARE: EMILY K MUNRO NGO RN, PHN, IBCLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WM0102XMaternal Newborn Registered Nurse95026120CA
2163WL0100XLactation Consultant (Registered Nurse)L-301541CA

General Provider Information

NPI Number : 1083591788
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY K MUNRO NGO RN, PHN, IBCLC
Provider Business Mailing Address
First Line : 1127 E DEL MAR BLVD APT 424
Second Line :
City : PASADENA
State : CA
Zip : 91106-3486
Country : US
Telephone Number : 916-479-2379
Fax Number :
Provider Business Practice Location Address
First Line : 1127 E DEL MAR BLVD APT 424
Second Line :
City : PASADENA
State : CA
Zip : 91106-3486
Country : US
Telephone Number : 916-479-2379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2025
Last Update Date : 08/18/2025

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