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NPI Code Detail

MEDICARE: BREANNA ANDREWS RN, MSN, PHN, IBCLC

MEDICARE:   BREANNA  ANDREWS  RN, MSN, 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
1163WL0100XLactation Consultant (Registered Nurse)L-316942CA

General Provider Information

NPI Number : 1265325476
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANNA ANDREWS RN, MSN, PHN, IBCLC
Provider Business Mailing Address
First Line : 1122 MISSION DR
Second Line :
City : COSTA MESA
State : CA
Zip : 92626-4209
Country : US
Telephone Number : 714-403-3402
Fax Number :
Provider Business Practice Location Address
First Line : 1122 MISSION DR
Second Line :
City : COSTA MESA
State : CA
Zip : 92626-4209
Country : US
Telephone Number : 714-403-3403
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2025
Last Update Date : 05/29/2025

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Directions to “ BREANNA ANDREWS RN, MSN, PHN, IBCLC” Practice Location

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