Prolactin Life, LLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

PROLACTIN LIFE, LLC

Practice address

15012 Notley Rd
Silver Spring, MD 20905-7437

Phone

(240) 360-1205

NPI assigned

Oct 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marianne Wysong, RN, IBCLC

Title

Owner

Phone

(240) 360-1205

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602288000000",
    "number": "1104424365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 NOTLEY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209057437",
            "telephone_number": "240-360-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15012 NOTLEY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209057437",
            "telephone_number": "240-360-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLACTIN LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-10",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-10",
        "status": "A",
        "authorized_official_last_name": "WYSONG",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-360-1205",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Registered Nurse) in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Lactation Consultant (Registered Nurse) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.