Individual provider · Type 1 NPI

Mary Therese Smith, BSN, RNC-NIC, IBCLC

Lactation Consultant (Registered Nurse) · Media, PA

NPI number 1164879110 Active

Practice location

205 S Orange St, Apt B
Media, PA 19063-3110

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) Primary 163WL0100XL-77562 (PA)

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

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About NPI 1164879110

Mary Therese Smith, BSN, RNC-NIC, IBCLC's National Provider Identifier is 1164879110, issued on May 19, 2016. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Media, PA. The record was last updated on May 19, 2016.