Provider Demographics
NPI:1023530763
Name:CUTTINO, AMY WINSLOW (LPN, IBCLC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:WINSLOW
Last Name:CUTTINO
Suffix:
Gender:F
Credentials:LPN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9118 EDINBURGH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-9125
Mailing Address - Country:US
Mailing Address - Phone:704-996-6843
Mailing Address - Fax:
Practice Address - Street 1:9118 EDINBURGH AVE
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-9125
Practice Address - Country:US
Practice Address - Phone:704-996-6843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL-127368174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN