Provider Demographics
NPI:1659177673
Name:FOBIAN, CALANDRA ELIZABETH (RN IBCLC)
Entity type:Individual
Prefix:
First Name:CALANDRA
Middle Name:ELIZABETH
Last Name:FOBIAN
Suffix:
Gender:
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 1:305 OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:HUXLEY
Mailing Address - State:IA
Mailing Address - Zip Code:50124-9468
Mailing Address - Country:US
Mailing Address - Phone:515-291-4720
Mailing Address - Fax:
Practice Address - Street 1:305 OAK BLVD
Practice Address - Street 2:
Practice Address - City:HUXLEY
Practice Address - State:IA
Practice Address - Zip Code:50124-9468
Practice Address - Country:US
Practice Address - Phone:515-291-4720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA125098163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant