Organization
RN BREASTFEEDING SUPPORT LLC
Active
Other names
Pacific Wellness & Lactation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BREANNE MARCUCCI ARNP FNP-C (OWNER, MEDICAL DIRECTOR)
(425) 903-1163
Entity
Organization
Contact information
Practice address
13002 54TH AVE SE, EVERETT, WA 98208-9548
(425) 903-1163
Mailing address
13002 54TH AVE SE, EVERETT, WA 98208-9548
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60400899
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60665822
WA
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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