Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 254796 | MA |
NPI | 1184168783 |
---|---|
Provider Name | Heather Jean Mcnulty |
First Address | Littleton, CO 80127-4011 |
Second Address | Littleton, CO 80127-4011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2016 |
Last Update Date | 15/03/2017 |