Provider Demographics
NPI:1184217390
Name:STEFFENSMEIER, CORTNEY R (IBCLC)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:R
Last Name:STEFFENSMEIER
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 1:1210 W NEBRASKA AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-3730
Mailing Address - Country:US
Mailing Address - Phone:402-450-2801
Mailing Address - Fax:
Practice Address - Street 1:1210 W NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-3730
Practice Address - Country:US
Practice Address - Phone:402-450-2801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEL-302561174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN