Suzanne W Anderson, RN, IBCLC
Individual provider Active NPI Lactation Consultant (Non-RN) · Sandia Park, NM
NPI 1154856102 · NPPES record last updated Apr 27, 2017
Key facts
- NPI
- 1154856102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Non-RN) 174N00000X
- License
- L-10364 (NM)
- Practice address
- 30 McLaughlin LN
Sandia Park, NM 87047-6802 - Phone
- (505) 306-1091
- NPI assigned
- Apr 27, 2017
- 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 |
|---|---|---|---|
| L-10364 | NM | MD | Lactation Consultant (Non-RN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-10364 | NM | Yes |
Addresses
Primary practice location
30 McLaughlin LN
Sandia Park, NM 87047-6802
Mailing address
30 McLaughlin LN
Sandia Park, NM 87047-6802
Phone (505) 306-1091
Other providers in Sandia Park, NM
- Elyse Ahnael
- Sandra Jane Allen
- Ana Amon
- Anna Ferris Vargas M.S., CCC-SLP
- Michael T Banchi
- Sarah Janina Berry
- Amy Mingchu Bower
- Paul Brodsky
All providers in Sandia Park, NM · Lactation Consultant (Non-RN) in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2017. 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.