Claire Gallagher, RN, IBCLC

Individual provider Active NPI Lactation Consultant (Registered Nurse) · Glen Ellen, CA

NPI 1962247015 · NPPES record last updated Feb 12, 2026

Key facts

NPI
1962247015
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Registered Nurse) 163WL0100X
License
L-319737 (CA)
Practice address
15175 Burbank Dr
Glen Ellen, CA 95442-9651
Phone
(707) 407-5987
NPI assigned
Jun 29, 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-319737CAMDLactation Consultant (Registered Nurse)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-319737 CA Yes

Addresses

Primary practice location

15175 Burbank Dr
Glen Ellen, CA 95442-9651

Mailing address

15175 Burbank Dr
Glen Ellen, CA 95442-9651
Phone (707) 407-5987

Other providers in Glen Ellen, CA

All providers in Glen Ellen, CA · Lactation Consultant (Registered Nurse) in California

Sources for this page

Verify at the official NPI Registry.