Audra Burton-Easterbrook, RAN, IBCLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · West Milford, NJ
NPI 1184095085 · NPPES record last updated Oct 18, 2015
Key facts
- NPI
- 1184095085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- L-13659 (NJ)
- Practice address
- 34 Algonquin Way
West Milford, NJ 07480-4102 - Phone
- (973) 650-9828
- NPI assigned
- Oct 18, 2015
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO12394800 | NJ | MD | Lactation Consultant (Registered Nurse) |
| L-13659 | NJ | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 26NO12394800 | NJ | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-13659 | NJ | Yes |
Addresses
Primary practice location
34 Algonquin Way
West Milford, NJ 07480-4102
Mailing address
34 Algonquin Way
West Milford, NJ 07480-4102
Phone (973) 650-9828
Other providers in West Milford, NJ
- Brandi Marie Borke
- Liliana Bosefski
- Gina A Buck
- Kenneth Bucsko
- Jennifer Melissa Bunkers
- Rachel Rose Calabria
- Michael Camato
- Deanna Catania
- Center for Humanistic Change of NJ, Inc.
- Children'S Aid and Family Services, Inc.
All providers in West Milford, NJ · Lactation Consultant (Registered Nurse) in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2015. 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.