Provider Demographics
NPI:1407581309
Name:HEILMAN, ALLISON RENEE (BSP, IBCLC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:RENEE
Last Name:HEILMAN
Suffix:
Gender:F
Credentials:BSP, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 BRYN MAWR IS
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207-5611
Mailing Address - Country:US
Mailing Address - Phone:941-592-0969
Mailing Address - Fax:
Practice Address - Street 1:404 BRYN MAWR IS
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-5611
Practice Address - Country:US
Practice Address - Phone:941-592-0969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-24
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-307683174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN