Gail Dittes, RN IBCLC

Individual provider Active NPI Lactation Consultant (Registered Nurse) · Levittown, PA

NPI 1811326564 · NPPES record last updated Oct 2, 2014

Key facts

NPI
1811326564
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Registered Nurse) 163WL0100X
License
L-46563 (PA)
Practice address
17 Shellflower Rd
Levittown, PA 19056-1707
Phone
(267) 241-1432
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
L-46563PAMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Breastfeeding Helper PC Lactation Consultant Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-46563 PA Yes

Addresses

Primary practice location

17 Shellflower Rd
Levittown, PA 19056-1707

Mailing address

17 Shellflower Rd
Levittown, PA 19056-1707
Phone (267) 879-5000

Other providers in Levittown, PA

All providers in Levittown, PA · Lactation Consultant (Registered Nurse) in Pennsylvania

Sources for this page

Verify at the official NPI Registry.