Koren H. Bradshaw
Lactation Consultant
32 Ermine St
Fairfield
, Connecticut 06824-5109
Koren H. Bradshaw
Lactation Consultant
32 Ermine St
Fairfield
, Connecticut 06824-5109
(617) 827-5223
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About
Features
Specialties
- Lactation Consultant
Languages spoken
- English
Location
First Address
- Koren H. Bradshaw
- 32 Ermine St
- Fairfield, CT
- Zip : 06824-5109
- Phone : (617) 827-5223
Second Address
- Koren H. Bradshaw
- 32 Ermine St
- Fairfield, CT
- Zip : 06824-5109
- Phone : (617) 827-5223
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 174N00000X | Lactation Consultant |
National Provider Identifier
| NPI | 1205308012 |
|---|---|
| Provider Name | Koren H. Bradshaw |
| First Address | Fairfield, CT 06824-5109 |
| Second Address | Fairfield, CT 06824-5109 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2018 |
| Last Update Date | 19/12/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.