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Individual

MRS. ALEXIYAH ROSE COUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP, WHNP-BC, IBCLC

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
259862
WI
174N00000X
Lactation Consultant (Non-RN)
363LW0102X
Women's Health Nurse Practitioner
Primary
16436-33
WI

Other

Enumeration date
06/12/2017
Last updated
02/01/2025
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