Provider Demographics
NPI:1871841643
Name:BRINGING UP BABY, INC
Entity Type:Organization
Organization Name:BRINGING UP BABY, INC
Other - Org Name:THE PUMP STATION & NURTURY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:R,
Authorized Official - Last Name:HALDEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN/IBCLC
Authorized Official - Phone:310-998-1981
Mailing Address - Street 1:2415 WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5805
Mailing Address - Country:US
Mailing Address - Phone:310-998-1981
Mailing Address - Fax:
Practice Address - Street 1:2415 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5805
Practice Address - Country:US
Practice Address - Phone:310-998-1981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty