SHANNON VANDEVOORDT RN CLC NPI 1134699440

NPI Information

NPI: 1134699440
Provider Name: SHANNON VANDEVOORDT, RN, CLC
Classification: Registered Nurse - 163WL0100X
Entity Type: Individual

Specialization: Lactation Consultant

Address:
387 W BROADWAY
BOSTON, MA
ZIP 02127
Phone: (857) 496-5095
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Shannon Vandevoordt, RN, CLC is a lactation consultant registered nurse in Boston, MA. Shannon Vandevoordt, RN, CLC NPI is 1134699440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

387 W BROADWAY
BOSTON, MA
ZIP 02127-217
Phone: (857) 496-5095

The enumeration date for this NPI number is 11/29/2018 and was last updated on 11/29/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0102X	Registered Nurse	Maternal Newborn	RN2268347	MASSACHUSETTS	No
2	163WL0100X	Registered Nurse	Lactation Consultant	CLC78333	MASSACHUSETTS	Yes

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

NPI Synchronization or Removal

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