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BRILLIANT BIRTHING AND LACTATION LLC NPI 1700545324


NPI Information

NPI: 1700545324
Provider Name: BRILLIANT BIRTHING AND LACTATION, LLC
Classification: Registered Nurse - 163WL0100X
Entity Type: Organization

Specialization: Lactation Consultant

Address:
5083 REIGATE CT
FREDERICK, MD
ZIP 21703
Phone: (240) 350-4525
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BRILLIANT BIRTHING AND LACTATION, LLC is a lactation consultant registered nurse in Frederick, MD. BRILLIANT BIRTHING AND LACTATION, LLC NPI is 1700545324. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5083 REIGATE CT
FREDERICK, MD
ZIP 21703-821
Phone: (240) 350-4525

The provider's authorized official is Lauren Capurata .
The authorized official title is Owner and has the following contact phone number (240) 350-4525.

The enumeration date for this NPI number is 12/10/2021 and was last updated on 12/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WL0100XRegistered NurseLactation ConsultantYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11609245018MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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