Ann L Kearney, RN BSN IBCLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Collinsville, CT
NPI 1497051817 · NPPES record last updated Feb 2, 2011
Key facts
- NPI
- 1497051817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- E57025 (CT)
- Practice address
- 76 Dyer Ave
Collinsville, CT 06019-3234 - Phone
- (860) 841-4985
- NPI assigned
- Feb 2, 2011
- 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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E57025 | CT | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | E57025 | CT | Yes |
Addresses
Primary practice location
76 Dyer Ave
Collinsville, CT 06019-3234
Mailing address
76 Dyer Ave
Collinsville, CT 06019-3234
Phone (860) 841-4985
Other providers in Collinsville, CT
- Gerard E Bogucki DMS PC
- Glaser Helpers, Inc.
- Karen Gradischer
- Lynelle Guimond
- Brianna Margaret Hanlon
- Serina Kissko
- Thomas Klaubert
- Amy Krystofalski
- Rachael Elizabeth Kulesza
- Darlene A Kupinski
All providers in Collinsville, CT · Lactation Consultant (Registered Nurse) in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2011. 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.