Individual
ANN MARIE NEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2458 SOUTH WALNUT STREET, BLOOMINGTON, IN 47401
(812) 337-8121
Mailing address
2458 S WALNUT ST, BLOOMINGTON, IN 47401-7730
(812) 337-8121
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10725776
INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT
—
Enumeration date
09/19/2014
Last updated
09/19/2014
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