Individual provider · Type 1 NPI

Alyssa Rose Wagner, IBCLC

Lactation Consultant (Registered Nurse) · Springfield, OR

NPI number 1700352143 Active

Practice location

353 Deadmond Ferry Rd
Springfield, OR 97477-9406

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) Primary 163WL0100X201140420RN (OR)

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

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About NPI 1700352143

Alyssa Rose Wagner, IBCLC's National Provider Identifier is 1700352143, issued on Oct 23, 2018. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Springfield, OR. The record was last updated on Oct 23, 2018.