Organization
CREDENTIALING AND BILLING LLC
Active
Other names
The Mama Coach
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE LYNNE BRUNO RN, IBCLC, MSCP (CEO)
(403) 589-6960
Entity
Organization
Contact information
Practice address
3101 N CENTRAL AVE STE 1834869, PHOENIX, AZ 85012-2645
(403) 589-6960
(208) 218-0544
Mailing address
3101 N CENTRAL AVE STE 1834869, PHOENIX, AZ 85012-2645
(403) 589-6960
(208) 218-0544
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
163WM0102X
Maternal Newborn Registered Nurse
—
—
163WN0003X
Low-Risk Neonatal Registered Nurse
—
—
163WP0200X
Pediatric Registered Nurse
—
—
163WP1700X
Perinatal Registered Nurse
—
—
163WW0101X
Ambulatory Women's Health Care Registered Nurse
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
07/15/2024
Last updated
02/25/2025
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