Individual provider · Type 1 NPI

Mary Wagner-Davis, IBCLC

Lactation Consultant (Non-RN) · Roseville, CA

NPI number 1649697475 Active

Practice location

604 Fifteen Mile Dr
Roseville, CA 95678-5921

Mailing address

PO Box 176
Roseville, CA 95661-0176

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XMFC23253 (CA)
Lactation Consultant (Non-RN) Primary 174N00000X10218838 (CA)

Lactation Consultant (Non-RN): An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.

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About NPI 1649697475

Mary Wagner-Davis, IBCLC's National Provider Identifier is 1649697475, issued on Mar 18, 2014. The primary taxonomy on file is Lactation Consultant (Non-RN) (174N00000X), and the practice location is in Roseville, CA. The record was last updated on Mar 18, 2014.