Provider Demographics
NPI:1275852741
Name:MOORE, ERIN ROCHELLE (IBCLC, CD-DONA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ROCHELLE
Last Name:MOORE
Suffix:
Gender:F
Credentials:IBCLC, CD-DONA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 S OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-5942
Mailing Address - Country:US
Mailing Address - Phone:704-450-9972
Mailing Address - Fax:
Practice Address - Street 1:117 S OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-5942
Practice Address - Country:US
Practice Address - Phone:704-450-9972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula