HEATHER BAZEMORE RN IBCLC NPI 1205421807

NPI Information

  • NPI: 1205421807
  • Provider Name: HEATHER BAZEMORE, RN, IBCLC
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 106 SOUTHRIDGE DR
    GREENVILLE, NC
    ZIP 27858
  • Phone: (910) 840-1135

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NPI Details

Heather Bazemore, RN, IBCLC is a lactation consultant registered nurse in Greenville, NC. Heather Bazemore, RN, IBCLC NPI is 1205421807. 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:

106 SOUTHRIDGE DR
GREENVILLE, NC
ZIP 27858-266
Phone: (910) 840-1135

The enumeration date for this NPI number is 3/4/2021 and was last updated on 3/4/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WL0100XRegistered NurseLactation Consultant277755NORTH CAROLINAYes

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: 3/30/2025

NPI Synchronization or Removal

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