Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11182947 |
NPI | 1043578800 |
---|---|
Provider Name | Mrs. Anne M Nuffer |
First Address | Niceville, FL 32578-2730 |
Second Address | Niceville, FL 32578-2730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2012 |
Last Update Date | 30/04/2012 |