Individual
NATALIE MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
4242 LOWER HONOAPIILANI RD, F404, LAHAINA, HI 96761-8969
(949) 200-0856
Mailing address
PO BOX 11264, LAHAINA, HI 96761-6264
(949) 200-0856
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
783339
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
81070
HI
163WL0100X
Lactation Consultant (Registered Nurse)
L-49340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W-40892867-01
TAX ID
HI
Enumeration date
08/10/2015
Last updated
11/05/2015
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