Shannon Conway, RN, IBCLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Cold Spring Harbor, NY
NPI 1952160459 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1952160459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- 22-642543 (NY)
- Practice address
- 19 Saw Mill LN
Cold Spring Harbor, NY 11724-2308 - Phone
- (401) 354-9472
- NPI assigned
- Mar 18, 2024
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22-642543 | NY | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 22-642543 | NY | Yes |
Addresses
Primary practice location
19 Saw Mill LN
Cold Spring Harbor, NY 11724-2308
Mailing address
19 Saw Mill LN
Cold Spring Harbor, NY 11724-2308
Phone (401) 354-9472
Other providers in Cold Spring Harbor, NY
- Francis Joseph Browne
- Corrine Joan Cappabianca
- Beth Chase-Schuman
- Cold Spring Harbor Central School District
- Cold Spring Harbor Fire District
- Catherine Costa Gardyn
- Eve D Culhane
- Lisa Current
- Lauren A Davis
- Mariano Delisi
All providers in Cold Spring Harbor, NY · Lactation Consultant (Registered Nurse) in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 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.