Deborah Stafford
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Vado, NM
NPI 1982253902 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1982253902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- 439550 (NM)
- Practice address
- 220 Vista del Rey Dr
Vado, NM 88072-7236 - Phone
- (575) 233-3240
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 439550 | NM | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lactation Consutant on the Go LLC | Lactation Consultant | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 439550 | NM | Yes |
Addresses
Primary practice location
220 Vista del Rey Dr
Vado, NM 88072-7236
Mailing address
220 Vista del Rey Dr
Vado, NM 88072-7236
Phone (575) 233-3240
Other providers in Vado, NM
- Elizabeth Hartshorn
- Lactation Consutant on the Go LLC
- Teresa R Marquez
- Ivonne Olson Penuela
- Dario Saucedo
- Patrick Harry Stafford
- Vanessa R Torres
All providers in Vado, NM · Lactation Consultant (Registered Nurse) in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2019. 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.