Katelyn Cooper
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Galena, MD
NPI 1245071844 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1245071844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- R-233337 (MD)
- Practice address
- 31989 Griffith Dr
Galena, MD 21635-1413 - Phone
- (443) 480-3773
- NPI assigned
- Jun 5, 2024
- 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 |
|---|---|---|---|
| R-233337 | MD | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | R-233337 | MD | Yes |
Addresses
Primary practice location
31989 Griffith Dr
Galena, MD 21635-1413
Mailing address
31989 Griffith Dr
Galena, MD 21635-1413
Phone (443) 480-3773
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All providers in Galena, MD · Lactation Consultant (Registered Nurse) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 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.