Provider Demographics
NPI:1528604790
Name:EMPOWERED POSTPARTUM LLC
Entity Type:Organization
Organization Name:EMPOWERED POSTPARTUM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUDASKO
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:267-614-0169
Mailing Address - Street 1:100 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-9458
Mailing Address - Country:US
Mailing Address - Phone:267-614-0169
Mailing Address - Fax:
Practice Address - Street 1:100 SYCAMORE DR
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-9458
Practice Address - Country:US
Practice Address - Phone:267-614-0169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty