Provider Demographics
NPI:1710670161
Name:CHRISTINA SCHAEFER LACTATION & FAMILY WELLNESS
Entity Type:Organization
Organization Name:CHRISTINA SCHAEFER LACTATION & FAMILY WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:850-259-1105
Mailing Address - Street 1:100 MCEWEN DR
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-2627
Mailing Address - Country:US
Mailing Address - Phone:850-259-1105
Mailing Address - Fax:833-261-3636
Practice Address - Street 1:100 MCEWEN DR
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-2627
Practice Address - Country:US
Practice Address - Phone:850-259-1105
Practice Address - Fax:833-261-3636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty