Provider Demographics
NPI:1619558681
Name:MURPHY, BROOKLYN MCCLAIN (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:BROOKLYN
Middle Name:MCCLAIN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:BROOK
Other - Middle Name:MCCLAIN
Other - Last Name:BROADBENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, IBCLC
Mailing Address - Street 1:5031 KIKALA RD
Mailing Address - Street 2:
Mailing Address - City:KALAHEO
Mailing Address - State:HI
Mailing Address - Zip Code:96741-9259
Mailing Address - Country:US
Mailing Address - Phone:920-737-5998
Mailing Address - Fax:
Practice Address - Street 1:4643B WAIMEA CANYON DR.
Practice Address - Street 2:
Practice Address - City:WAIMEA
Practice Address - State:HI
Practice Address - Zip Code:96796
Practice Address - Country:US
Practice Address - Phone:808-338-8311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIL-16373163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Provider Identifiers
StateIdentifier IDID TypeIssuer
L-16373OtherIBCLC
HIRN-87352OtherRN LICENSE