Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIA KORINNE ROETHERFORD
Active Sole ProprietorMIA KORINNE ROETHERFORD is a Lactation Consultant healthcare provider located in DETROIT, Michigan. NPI 1477058394 is currently active in the NPPES registry. Verify at CMS.
Lactation Consultant · DETROIT, MI
Registration Details
- NPI Number
- 1477058394
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 25, 2018 (8.3474775330999 yrs)
- Last Updated
- Mar 25, 2018
- License
-
L112282 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18697 SUNDERLAND RDDETROIT, MI, 482192816Browse MI providers · Browse ZIP 48219
- Phone
- 3135870497
- Primary Specialty
-
Lactation Consultant
174N00000X
Other Lactation Consultant Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| STACY DAVIS | IBCLC | 1275938391 |
| TAMEKA LATOYA JACKSON -DYER | IBCLC, CHW | 1497229751 |
| MICIA JENA EDDINS | — | 1275174484 |
| AMY-EUNICE NELOMS | IBCLC | 1265157010 |
| STACY ROSE MUHSIN | IBCLC | 1306521562 |
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.