Provider Demographics
NPI:1891374898
Name:NURTURE PEDIATRICS AND LACTATION
Entity Type:Organization
Organization Name:NURTURE PEDIATRICS AND LACTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIMPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-771-3898
Mailing Address - Street 1:2321 E BROOKFIELD LN
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-9118
Mailing Address - Country:US
Mailing Address - Phone:208-771-3898
Mailing Address - Fax:
Practice Address - Street 1:2321 E BROOKFIELD LN
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-9118
Practice Address - Country:US
Practice Address - Phone:208-771-3898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty