Provider Demographics
NPI:1003692229
Name:ROONEY, JULIE DIANE (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:DIANE
Last Name:ROONEY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BRADSTREET RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-4040
Mailing Address - Country:US
Mailing Address - Phone:603-345-5538
Mailing Address - Fax:
Practice Address - Street 1:7 BRADSTREET RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-4040
Practice Address - Country:US
Practice Address - Phone:603-345-5538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH067506-21163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant