Individual provider · Type 1 NPI
Courtney Marie Wallace, RN, PHN, IBCLC
Lactation Consultant (Registered Nurse) · Ventura, CA
NPI number
1710798285
Active
Practice location
363 Barry Dr
Ventura, CA 93001-1495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | 821163 (CA) |
Lactation Consultant (Registered Nurse): Definition to come...
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About NPI 1710798285
Courtney Marie Wallace, RN, PHN, IBCLC's National Provider Identifier is 1710798285, issued on Jan 15, 2025. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Ventura, CA. The record was last updated on Jan 15, 2025.