Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1063001212 |
---|---|
Provider Name | Chelsea Lynn Simpson |
First Address | Imperial, MO 63052-2290 |
Second Address | Imperial, MO 63052-2290 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2021 |
Last Update Date | 12/01/2021 |