Provider Demographics
NPI:1609302470
Name:QUIGLEY, AIMEE (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HILLSDALE RD
Mailing Address - Street 2:
Mailing Address - City:WEST KINGSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02892-1001
Mailing Address - Country:US
Mailing Address - Phone:401-477-2401
Mailing Address - Fax:
Practice Address - Street 1:2 HILLSDALE RD
Practice Address - Street 2:
Practice Address - City:WEST KINGSTON
Practice Address - State:RI
Practice Address - Zip Code:02892-1001
Practice Address - Country:US
Practice Address - Phone:401-477-2401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILLC00048163WL0100X
RIRN49903163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn