Melissa Brunke, BNS, RN, MNN, IBCLC

Individual provider Active NPI Lactation Consultant (Registered Nurse) · Brookshire, TX

NPI 1376325787 · NPPES record last updated Oct 19, 2023

Key facts

NPI
1376325787
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Registered Nurse) 163WL0100X
License
836197 (TX)
Practice address
32503 Dew Crest St
Brookshire, TX 77423-3018
Phone
(832) 535-7282
NPI assigned
Oct 19, 2023
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
836197TXMDLactation Consultant (Registered Nurse)
L-157479TXMDLactation Consultant (Registered Nurse)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-157479 TX
Lactation Consultant (Registered Nurse) 163WL0100X 836197 TX Yes

Addresses

Primary practice location

32503 Dew Crest St
Brookshire, TX 77423-3018

Mailing address

32503 Dew Crest St
Brookshire, TX 77423-3018
Phone (832) 535-7282

Other providers in Brookshire, TX

All providers in Brookshire, TX · Lactation Consultant (Registered Nurse) in Texas

Sources for this page

Verify at the official NPI Registry.