Individual
MRS. SARAH ELIZABETH WYDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2621 HARTLEY ST, VIRGINIA BEACH, VA 23456-6549
(757) 297-2843
Mailing address
1709 MILL LANDING RD, VIRGINIA BEACH, VA 23457-1442
(757) 297-2843
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L50268
VA
174N00000X
Lactation Consultant (Non-RN)
L-50268
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447659867
IN PROCESS
VA
Enumeration date
08/21/2014
Last updated
03/10/2022
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