IndividualActive
Candyce Fahner, RN IBCLC
NPI 1013457712 · Lactation Consultant (Registered Nurse) · E Patchogue, NY
Provider details
- NPI number
- 1013457712
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN IBCLC
- Sex
- Female
- Sole proprietor
- No
- License
- RN309353 (NY)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
22 Haig Ave
E Patchogue, NY 11772
Phone: (631) 730-2993
Approximate (ZIP-level) locationGet directions
Mailing address
22 Haig Ave
E Patchogue, NY 11772
Registry dates
- Enumerated
- 2017-02-28
- Last updated
- 2017-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.