Individual
MONICA FAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1025 PENNOCK PL, FORT COLLINS, CO 80524-3250
(970) 495-8858
Mailing address
1025 PENNOCK PL, FORT COLLINS, CO 80524-3250
(970) 495-8800
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1632767
CO
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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