Individual
MEREDITH WENTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, LMBT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4807
SC
174N00000X
Lactation Consultant (Non-RN)
Primary
79127
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255733432
—
SC
Enumeration date
09/19/2014
Last updated
06/17/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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