Individual
VICKIE LYN HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
1761 BEALL AVE, WOOSTER, OH 44691-2342
(330) 202-5567
Mailing address
1761 BEALL AVE, WOOSTER, OH 44691-2342
(330) 202-5567
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN-198304
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-130088
IBCLC
OH
01
—
RN-198304
OHIO NURSING LICENSE
OH
Enumeration date
06/04/2020
Last updated
06/04/2020
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