Individual
REBECCA EILEEN HUMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2109 E 100 N, FOWLER, IN 47944-8508
(765) 715-0409
Mailing address
PO BOX 52, FOWLER, IN 47944-0052
(574) 850-0143
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
28167318A
IN
163WM0102X
Maternal Newborn Registered Nurse
28167318A
IN
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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