Organization
SIMPLY FED LACTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN FITZGERALD BSN, RN, IBCLC (MANAGER)
(781) 635-6479
Entity
Organization
Contact information
Practice address
152 LONGWATER DR, HANOVER, MA 02339-1867
(781) 635-6479
Mailing address
152 LONGWATER DR, HANOVER, MA 02339-1867
(781) 635-6479
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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