Provider Demographics
NPI:1073986840
Name:ARIANTE, MICHELLE (IBCLC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:ARIANTE
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 OLD BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRIELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08730-1537
Mailing Address - Country:US
Mailing Address - Phone:732-977-6444
Mailing Address - Fax:
Practice Address - Street 1:208 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-3044
Practice Address - Country:US
Practice Address - Phone:732-977-6444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-02
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133NN1002X
NJL-83369163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education