Provider Demographics
NPI:1881391399
Name:BLUMENTHAL, ERIKA (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:BLUMENTHAL
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 1:250 HILLSTONE DR
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-9115
Mailing Address - Country:US
Mailing Address - Phone:509-949-2578
Mailing Address - Fax:
Practice Address - Street 1:250 HILLSTONE DR
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-9115
Practice Address - Country:US
Practice Address - Phone:509-823-7823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60125061163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant