ADVANCED BREASTFEEDING SUPPORT OF LAS VEGAS NPI 1902365869

NPI Information

ADVANCED BREASTFEEDING SUPPORT OF LAS VEGAS is a lactation consultant registered nurse in Las Vegas, NV. ADVANCED BREASTFEEDING SUPPORT OF LAS VEGAS NPI is 1902365869. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Autumn Wake, Rn, Bsn, Ibclc.

The provider's business location address is:

6970 S CIMARRON RD STE 100
LAS VEGAS, NV
ZIP 89113-135
Phone: (702) 764-9290
Fax: (702) 473-5383

The provider's authorized official is Autumn Wake .
The authorized official title is Owner/practitioner and has the following contact phone number (702) 764-9290.

The enumeration date for this NPI number is 3/19/2019 and was last updated on 3/20/2019.

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:

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