PROLACTIN LIFE, LLC (NPI# 1104424365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104424365 |
| Entity Type | Organization |
| Organization Name | PROLACTIN LIFE, LLC |
| Practice Address |
15012 Notley Rd Silver Spring MD 20905-7437 |
| Practice Telephone | 2403601205 |
| Mailing Telephone | 2403601205 |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2020-10-10 |
| Authorized Official Name | MARIANNE WYSONG (OWNER) |
| Authorized Official Telephone | 2403601205 |
| Authorized Official Credential | RN, IBCLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
Nursing Service Providers |
| Street Address |
15012 NOTLEY RD |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20905-7437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790202836 | Isabella Abigail Perez Vega | Student in an Organized Health Care Education/Training Program | 17309 New Hampshire Ave, Silver Spring, MD 20905 | 2017-08-29 |
| 1265961627 | Terry Kim | Optometrist | 14405 Sturtevant Rd, Silver Spring, MD 20905 | 2017-06-08 |
| 1003342460 | Kevin Saeedi | Technician | 14505 Sandy Ridge Rd, Silver Spring, MD 20905 | 2017-05-04 |
| 1285166967 | Rahael Fon | Home Health Aide | 14500 Good Hope Rd, Silver Spring, MD 20905 | 2017-03-31 |
| 1275089484 | Sylvia Lum Fontawa | Home Health Aide | 14500 Twig Road, Silver Spring, MD 20905 | 2016-08-28 |
| 1164833182 | Aubrey Joseph Moreau | Pharmacist | 14014 Conneticuit Ave, Kmart Pharmacy 4399, Silver Spring, MD 20905 | 2014-05-13 |
| 1720400575 | Nursing Unlimited Services, Inc | Home Health | 3411 Robey Terr #104, Silver Spring, MD 20905 | 2014-01-14 |
| 1114268349 | Unity Healthcare Sevices | Home Health | 14200 Delilah Court, Silver Spring, MD 20905 | 2013-03-13 |
| 1063746121 | Joseph H.t. Jiao | Acupuncturist | 14731 Good Hope Rd., Silver Spring, MD 20905 | 2009-09-22 |
| 1407005838 | Rolf Nmi Nieman | Otolaryngology | 807 Norwood Rd, Silver Spring, MD 20905 | 2008-09-10 |
| Find all providers in zip 20905 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609321538 | Helen Averill | Registered Nurse | 304 Franklin Ave, Silver Spring, MD 20901-4804 | 2016-08-21 |
| 1164759585 | Stephanie Knox | Registered Nurse | 8120 Fenton St, Suite 202l, Silver Spring, MD 20910-4796 | 2009-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447861554 | Emily Margaret Johnson | Registered Nurse | 509 Casey Ln, Rockville, MD 20850-7744 | 2020-08-12 |
| 1770101180 | Kelly Kendall | Registered Nurse | 1782 E Regents Park Rd, Crofton, MD 21114-2530 | 2020-07-13 |
| 1841810546 | Kristan Nichole Zylka | Registered Nurse | 253 Bell Rd, Westminster, MD 21158-4107 | 2020-04-22 |
| 1174152912 | Melissa Marie Wilson | Registered Nurse | 905 Forksbridge Ct, Gambrills, MD 21054-1655 | 2020-04-03 |
| 1588209100 | Nancy Jill Kerr | Registered Nurse | 616 Laurel Dr, Pasadena, MD 21122-5225 | 2019-11-07 |
| 1245886944 | Christina Louise Bernard | Registered Nurse | 777 Oakwilde Way, Millersville, MD 21108-1417 | 2019-08-18 |
| 1770137440 | Jaime Samluck | Registered Nurse | 620 Trango Dr, Westminster, MD 21158-9469 | 2019-07-30 |
| 1194382515 | Bridget N Krautwurst | Registered Nurse | 33 Boileau Ct, Middletown, MD 21769-8002 | 2019-05-21 |
| 1881156784 | Anne Caitlin Greene | Registered Nurse | 14812 Physicians Ln Ste 161, Rockville, MD 20850-3911 | 2019-04-01 |
| 1720562804 | Rebecca Elizabeth Covington | Registered Nurse | 210 Old Line Dr, Centreville, MD 21617-2544 | 2018-09-24 |
| Find all providers with the same taxonomy | ||||
| City | SILVER SPRING |
| Zip Code | 20905 |
Please comment or provide details below to improve the information on PROLACTIN LIFE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.