Individual
MARY LOUISE OVERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MN, RN, IBCLC
Contact information
Practice address
11608 RUTLEDGE BAY, RALEIGH, NC 27614-9204
(919) 847-4903
Mailing address
11608 RUTLEDGE BAY, RALEIGH, NC 27614-9204
(919) 847-4903
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
84348
NC
Other
Enumeration date
06/09/2012
Last updated
06/09/2012
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