Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MALLORY DAWN MUDD POMERVILLE, IBCLC, LPN
Active Sole ProprietorMRS. MALLORY DAWN MUDD POMERVILLE, IBCLC, LPN is a Lactation Consultant Nurse healthcare provider located in KEY WEST, Florida. NPI 1174941892 is currently active in the NPPES registry. Verify at CMS.
Lactation Consultant Nurse · KEY WEST, FL
Registration Details
- NPI Number
- 1174941892
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2014 (12.411025300739 yrs)
- Last Updated
- Mar 31, 2014
- Licenses
-
L-41930 (FL)PN 5214349 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1538 BOWFIN CTUNIT DKEY WEST, FL, 330406725Browse FL providers · Browse ZIP 33040
- Phone
- 6609092350
- Primary Specialty
-
Lactation Consultant Nurse
163WL0100X
- Additional Specialty
- Licensed Practical Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.