Organization
ADVANCED BREASTFEEDING SUPPORT OF LAS VEGAS
Active
Organization
ADVANCED BREASTFEEDING SUPPORT OF LAS VEGAS
Active
Other names
AUTUMN WAKE, RN, BSN, IBCLC
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN WAKE RN, BSN, IBCLC (OWNER/PRACTITIONER)
(702) 764-9290
Entity
Organization
Contact information
Practice address
6970 S CIMARRON RD STE 100, LAS VEGAS, NV 89113-2135
(702) 764-9290
(702) 473-5383
Mailing address
6970 S CIMARRON RD STE 100, LAS VEGAS, NV 89113-2135
(702) 764-9290
(702) 473-5383
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/20/2019
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