Active NPIIndividual provider

Nastassia Davis, MSN, RN, IBCLC

Registered Nurse, Lactation Consultant in West Orange, New Jersey

NPI Number1194179515
Practice location
36 Randolph Pl, West Orange, NJ 07052-4808
Fax
973-860-2220
Last updated
April 20, 2019

Nastassia Davis is a Registered Nurse, Lactation Consultant based in West Orange, NJ. Nastassia Davis practices in West Orange, NJ and has the professional credentials of MSN, RN, IBCLC. The NPI Number for Nastassia Davis is 1194179515 and holds a License No. 558884 (NY). The current practice location address for Nastassia Davis is 36 Randolph Pl, West Orange, NJ 07052-4808 and can be reached out via phone at 914-882-9475 and via fax at 973-860-2220.

Provider Profile Details

NPI Number
1194179515
Provider Name
Nastassia Davis
Credential
MSN, RN, IBCLC
Provider Entity Type
Individual
Gender
Female
Address
36 Randolph Pl, West Orange, NJ 07052-4808
Phone Number
914-882-9475
Fax Number
973-860-2220
Primary Taxonomy
Registered Nurse, Lactation Consultant · 163WL0100X
Sole Proprietor
No
Provider Enumeration Date
April 21, 2016
Last Update Date
April 20, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Randolph Pl
West Orange, NJ 07052-4808
Zip
07052-4808
Phone Number
914-882-9475
Fax Number
973-860-2220
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
191 Central Ave Ste 213
Newark, NJ 07103-3921
City
Newark
State
NJ
Zip
07103-3921
Phone Number
973-488-7975
Fax Number
973-860-2220

License Information

License Number (1)
558884
License State (1)
NY
Taxonomy (1)
Registered Nurse, Lactation Consultant · 163WL0100X
License Number (2)
26NR15908000
License State (2)
NJ
Taxonomy (2)
Registered Nurse, Lactation Consultant · 163WL0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nastassia Davis, MSN, RN, IBCLC?

The NPI number of Nastassia Davis, MSN, RN, IBCLC is 1194179515. It was assigned on April 21, 2016 and is currently active in the NPPES registry.

What is the specialty of Nastassia Davis, MSN, RN, IBCLC?

Nastassia Davis, MSN, RN, IBCLC is registered under the primary taxonomy Registered Nurse, Lactation Consultant (code 163WL0100X), licensed in NY under license number 558884.

Where does Nastassia Davis, MSN, RN, IBCLC practice?

The practice location is 36 Randolph Pl, West Orange, NJ 07052-4808. The office can be reached at 914-882-9475 (phone) or 973-860-2220 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194179515 directly on the NPPES registry website.

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