Mary Ann Martin
Lactation Consultant
2458 S Walnut St
Bloomington
, Indiana 47401-7730
Mary Ann Martin
Lactation Consultant
2458 S Walnut St
Bloomington
, Indiana 47401-7730
(812) 337-8121
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About
Features
Specialties
- Lactation Consultant
Languages spoken
- English
Location
First Address
- Mary Ann Martin
- 2458 S Walnut St
- Bloomington, IN
- Zip : 47401-7730
- Phone : (812) 337-8121
Second Address
- Mary Ann Martin
- 2458 S Walnut St
- Bloomington, IN
- Zip : 47401-7730
- Phone : (812) 337-8121
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant |
National Provider Identifier
| NPI | 1144622929 |
|---|---|
| Provider Name | Mary Ann Martin |
| First Address | Bloomington, IN 47401-7730 |
| Second Address | Bloomington, IN 47401-7730 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2014 |
| Last Update Date | 23/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11121956 | INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (01) |
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.