Provider Demographics
NPI:1467113712
Name:TERRANOVA, CINDY (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:
Last Name:TERRANOVA
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:CALVANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:IBCLC
Mailing Address - Street 1:1 DORAL BLVD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-1554
Mailing Address - Country:US
Mailing Address - Phone:908-509-1279
Mailing Address - Fax:
Practice Address - Street 1:1 DORAL BLVD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-1554
Practice Address - Country:US
Practice Address - Phone:908-509-1279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-301310174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN