Amy Noell Cavallo, RN, IBCLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Selkirk, NY
NPI 1023680402 · NPPES record last updated Jul 14, 2021
Key facts
- NPI
- 1023680402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- 64377601 (NY)
- Practice address
- 241 Nasner LN
Selkirk, NY 12158-1236 - Phone
- (949) 280-9002
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64377601 | NY | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 64377601 | NY | Yes |
Addresses
Primary practice location
241 Nasner LN
Selkirk, NY 12158-1236
Mailing address
241 Nasner LN
Selkirk, NY 12158-1236
Phone (949) 280-9002
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All providers in Selkirk, NY · Lactation Consultant (Registered Nurse) in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.