Provider Demographics
NPI:1013693985
Name:PARAH, ELIZABETH (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:PARAH
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 1:168 BEDARD ROAD
Mailing Address - Street 2:
Mailing Address - City:SHELDON
Mailing Address - State:VT
Mailing Address - Zip Code:05483
Mailing Address - Country:US
Mailing Address - Phone:802-370-7142
Mailing Address - Fax:
Practice Address - Street 1:168 BEDARD ROAD
Practice Address - Street 2:
Practice Address - City:SHELDON
Practice Address - State:VT
Practice Address - Zip Code:05483
Practice Address - Country:US
Practice Address - Phone:802-370-7142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VTL-311705174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN