Individual
IVY WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
10775 MCKINLEY HWY STE C, OSCEOLA, IN 46561-9164
(574) 315-3196
Mailing address
10775 MCKINLEY HWY STE C, OSCEOLA, IN 46561-9164
(574) 315-3196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
L-315046
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341364
ACADEMY OF LACTATION PRACTICE AND POLICY
IN
01
—
L-315046
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
IN
Enumeration date
06/16/2022
Last updated
08/05/2024
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