Provider Demographics
NPI:1780022665
Name:LOESER-MURPHY, KIMBERLY ANN (RN IBCLC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:ANN
Last Name:LOESER-MURPHY
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 1:2235 ENCINITAS BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4355
Mailing Address - Country:US
Mailing Address - Phone:858-369-5930
Mailing Address - Fax:858-369-5951
Practice Address - Street 1:2235 ENCINITAS BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4355
Practice Address - Country:US
Practice Address - Phone:858-369-5930
Practice Address - Fax:858-369-5951
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA264404163WH0200X, 163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WH0200XNursing Service ProvidersRegistered NurseHome Health