Provider Demographics
NPI:1407212251
Name:BREASTFEEDING BASICS WITH CAPRI RYAN
Entity Type:Organization
Organization Name:BREASTFEEDING BASICS WITH CAPRI RYAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED BREASTFEEDING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CAPRI
Authorized Official - Middle Name:JAZZ
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-509-9008
Mailing Address - Street 1:101 DAVIS ST S
Mailing Address - Street 2:PO BOX 144
Mailing Address - City:BURLINGTON
Mailing Address - State:ND
Mailing Address - Zip Code:58722-2046
Mailing Address - Country:US
Mailing Address - Phone:701-509-9008
Mailing Address - Fax:
Practice Address - Street 1:101 DAVIS ST S
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:ND
Practice Address - Zip Code:58722-2046
Practice Address - Country:US
Practice Address - Phone:701-509-9008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-10
Last Update Date:2016-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty