Individual provider · Type 1 NPI

Candyce Fahner, RN IBCLC

Lactation Consultant (Registered Nurse) · East Patchogue, NY

NPI number 1013457712 Active

Practice location

22 Haig Ave
East Patchogue, NY 11772

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN309353 (NY)
Lactation Consultant (Registered Nurse) Primary 163WL0100XL20013 (NY)

Lactation Consultant (Registered Nurse): Definition to come...

About NPI 1013457712

Candyce Fahner, RN IBCLC's National Provider Identifier is 1013457712, issued on Feb 28, 2017. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in East Patchogue, NY. The record was last updated on Feb 28, 2017.