Individual provider · Type 1 NPI
Mallory Dawn Mudd Pomerville, IBCLC, LPN
Lactation Consultant (Registered Nurse) · Key West, FL
NPI number
1174941892
Active
Practice location
1538 Bowfin Ct, Unit D
Key West, FL 33040-6725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | L-41930 (FL) |
| Licensed Practical Nurse | 164W00000X | PN 5214349 (FL) |
Lactation Consultant (Registered Nurse): Definition to come...
About NPI 1174941892
Mallory Dawn Mudd Pomerville, IBCLC, LPN's National Provider Identifier is 1174941892, issued on Mar 31, 2014. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Key West, FL. The record was last updated on Mar 31, 2014.