Individual
EBRENYKA BASNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7256 PEBBLEBROOK DR, FAYETTEVILLE, NC 28314-5232
(719) 354-5668
Mailing address
7256 PEBBLEBROOK DR, FAYETTEVILLE, NC 28314-5232
(719) 354-5668
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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