Organization · Type 2 NPI

Advanced Breastfeeding Support of Las Vegas

Lactation Consultant (Registered Nurse) · Las Vegas, NV

NPI number 1902365869 Active

Practice location

6970 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2135

Fax (702) 473-5383

Specialties and licenses

Taxonomy	Code	License
Lactation Consultant (Registered Nurse) Primary	163WL0100X	None listed

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

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NPI record

NPI: 1902365869
Entity type: Organization (Type 2)
Issued: Mar 19, 2019
Last updated: Mar 20, 2019
Status: Active

Other names

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Autumn Wake, Rn, Bsn, Ibclc · doing business as
Autumn Wake, Rn, Bsn, Ibclc · doing business as

Authorized official

Autumn Wake, RN, BSN, IBCLC
Owner/practitioner
(702) 764-9290

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902365869

Advanced Breastfeeding Support of Las Vegas's National Provider Identifier is 1902365869, issued on Mar 19, 2019. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 20, 2019.