Bethany Quigley, RN
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Santa Clara, UT
NPI 1043025786 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1043025786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- N-35442 (ID)
- Practice address
- 1818 Wittwer LN
Santa Clara, UT 84765-5122 - Phone
- (702) 423-2845
- NPI assigned
- Feb 10, 2025
- 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 |
|---|---|---|---|
| N-35442 | ID | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | N-35442 | ID | Yes |
Addresses
Primary practice location
1818 Wittwer LN
Santa Clara, UT 84765-5122
Mailing address
1818 Wittwer LN
Santa Clara, UT 84765-5122
Phone (702) 423-2845
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All providers in Santa Clara, UT · Lactation Consultant (Registered Nurse) in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. 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.