Individual provider · Type 1 NPI
Corri Elise Martella, RN, IBCLC
Lactation Consultant (Registered Nurse) · Herald, CA
NPI number
1114614534
Active
Practice location
13808 Montfort Ave
Herald, CA 95638-9785
Mailing address
10400 Twin Cities Rd, Ste 20 Pmb 154
Galt, CA 95632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95071234 (CA) |
| Lactation Consultant (Non-RN) | 174N00000X | L-307969 |
| Doula | 374J00000X | None listed |
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | L-307969 (CA) |
Lactation Consultant (Registered Nurse): Definition to come...
About NPI 1114614534
Corri Elise Martella, RN, IBCLC's National Provider Identifier is 1114614534, issued on Apr 18, 2023. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Herald, CA. The record was last updated on Apr 18, 2023.