Individual provider · Type 1 NPI
Alicia Renee Balok, RN, IBCLC
Lactation Consultant (Registered Nurse) · Grants, NM
NPI number
1376149062
Active
Practice location
1016 E Roosevelt Ave
Grants, NM 87020-2118
Mailing address
503 S Grandview Dr
Gallup, NM 87301-6019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | RN-74890 (NM) |
Lactation Consultant (Registered Nurse): Definition to come...
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- Alfredo Nevarez, MDFamily Medicine Physician Grants, NM NPI 1558711846
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- Edward S. Sanshu, CRNACertified Registered Nurse Anesthetist Grants, NM NPI 1134155443
- Elise Ann Larsen, LCSWClinical Social Worker Grants, NM NPI 1841664380
- Ellen Casavantes, LMSWSocial Worker Grants, NM NPI 1497154041
- Fernando Hernandez, PT, DPTPhysical Therapist Grants, NM NPI 1811711096
- Hannah Beth Wahl, DPT, PTPhysical Therapist Grants, NM NPI 1013731207
About NPI 1376149062
Alicia Renee Balok, RN, IBCLC's National Provider Identifier is 1376149062, issued on Dec 8, 2020. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Grants, NM. The record was last updated on Dec 8, 2020.