Provider Demographics
NPI:1477386647
Name:CERNIGLIA, CLAIRE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:CERNIGLIA
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1127 E DEL MAR BLVD APT 315
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3438
Mailing Address - Country:US
Mailing Address - Phone:301-785-3352
Mailing Address - Fax:
Practice Address - Street 1:1127 E DEL MAR BLVD APT 315
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-3438
Practice Address - Country:US
Practice Address - Phone:301-785-3352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN95390029163WL0100X
CO1670572163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant