Rebecca Gravenor
Lactation Consultant
8077 Baptist Church Rd
Mardela Springs
, Maryland 21837-2421
Rebecca Gravenor
Lactation Consultant
8077 Baptist Church Rd
Mardela Springs
, Maryland 21837-2421
(443) 354-1853
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About
Features
Specialties
- Lactation Consultant
Languages spoken
- English
Location
First Address
- Rebecca Gravenor
- Po Box 316
- Mardela Springs, MD
- Zip : 21837-0316
- Fax : (443) 354-1853
- Phone : (443) 523-6373
Second Address
- Rebecca Gravenor
- 8077 Baptist Church Rd
- Mardela Springs, MD
- Zip : 21837-2421
- Fax : (443) 354-1853
- Phone : (443) 523-6373
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant | L-134914 | MD |
National Provider Identifier
| NPI | 1356976906 |
|---|---|
| Provider Name | Rebecca Gravenor |
| First Address | Mardela Springs, MD 21837-0316 |
| Second Address | Mardela Springs, MD 21837-2421 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/03/2020 |
| Last Update Date | 06/05/2020 |
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.