NPI 1003183229
Elaine Renee Rose, IBCLC
Practice location
- Address
- 12345 Heather St NW, Coon Rapids, MN 55433-1754
- Phone
- (612) 963-1301
Registered specialties
Lactation Consultant (Non-RN)
Primary
Registry record
- NPI
- 1003183229
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Nov 2011
- Record last updated
- 17 Nov 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.