Amanda Harris, RN IBCLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Delafield, WI
NPI 1033976337 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1033976337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- 226715-30 (WI)
- Practice address
- W307N1497 Golf Rd
Delafield, WI 53018-2112 - Phone
- (262) 204-7574
- NPI assigned
- Mar 4, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 226715-30 | WI | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latched Lake Country LLC | Lactation Consultant | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 226715-30 | WI | Yes |
Addresses
Primary practice location
W307N1497 Golf Rd
Delafield, WI 53018-2112
Mailing address
557 N 63Rd St
Wauwatosa, WI 53213-4173
Phone (414) 403-4037
Other providers in Delafield, WI
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- Jerijo Marie Hall
- Kelly Halladay
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- Jeffrey Thomas Hamill
- Hayes H Hatfield
- Laura Elizabeth Heiden
- Casey Rose Hills
- Hillside Chiropractic, LLC
- Nicole Marie Hipke
All providers in Delafield, WI · Lactation Consultant (Registered Nurse) in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. 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.