Provider Demographics
NPI:1508572215
Name:MAFNAS, BARBARA C (RN, MSN, IBCLC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:C
Last Name:MAFNAS
Suffix:
Gender:F
Credentials:RN, MSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4388
Mailing Address - Street 2:
Mailing Address - City:YIGO
Mailing Address - State:GU
Mailing Address - Zip Code:96929-4388
Mailing Address - Country:US
Mailing Address - Phone:671-777-6526
Mailing Address - Fax:
Practice Address - Street 1:472 CHALAN SAN ANTONIO
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-3605
Practice Address - Country:US
Practice Address - Phone:671-777-6526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GURX0241163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant