Provider Demographics
NPI:1457648586
Name:FAUST, ANN B (MBCHB, BA, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:B
Last Name:FAUST
Suffix:
Gender:F
Credentials:MBCHB, BA, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9551 WANDERING WAY STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3244
Mailing Address - Country:US
Mailing Address - Phone:240-893-3808
Mailing Address - Fax:
Practice Address - Street 1:9551 WANDERING WAY STE B
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3244
Practice Address - Country:US
Practice Address - Phone:240-893-3808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-10
Last Update Date:2011-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN