Provider Demographics
NPI:1821851205
Name:ELSON, HAILEY AYERS (IBCLC)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:AYERS
Last Name:ELSON
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 PAMLICO DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-5419
Mailing Address - Country:US
Mailing Address - Phone:252-402-2001
Mailing Address - Fax:
Practice Address - Street 1:217 PAMLICO DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-5419
Practice Address - Country:US
Practice Address - Phone:252-402-2001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No133N00000XDietary & Nutritional Service ProvidersNutritionist