Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11093251 | NC |
NPI | 1184982035 |
---|---|
Provider Name | Mrs. Stephanie J Bielli |
First Address | Fayetteville, NC 28311-9351 |
Second Address | Fayetteville, NC 28311-9351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2012 |
Last Update Date | 29/04/2012 |