Provider Demographics
NPI:1457966426
Name:WOODHOUSE, AIMEE SHERENE (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:SHERENE
Last Name:WOODHOUSE
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 1:685 BAY RD
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-1446
Mailing Address - Country:US
Mailing Address - Phone:518-222-1701
Mailing Address - Fax:
Practice Address - Street 1:685 BAY RD
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-1446
Practice Address - Country:US
Practice Address - Phone:518-222-1701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY502303-1163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant