Provider Demographics
NPI:1316600554
Name:HELMUTH, SHAWNA (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:SHAWNA
Middle Name:
Last Name:HELMUTH
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 1:27145 MEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-9528
Mailing Address - Country:US
Mailing Address - Phone:831-214-0754
Mailing Address - Fax:831-625-3539
Practice Address - Street 1:27145 MEADOWS RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-9528
Practice Address - Country:US
Practice Address - Phone:831-214-0754
Practice Address - Fax:831-625-3539
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA431709163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant