IndividualActive
Patricia Hennequin, RN, BSN, IBCLC
NPI 1265056907 · Lactation Consultant (Registered Nurse) · Emmett, ID
Provider details
- NPI number
- 1265056907
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN, BSN, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- N-32346 (ID)
Specialties & taxonomies
Nursing Service Providers
Practice location
2378 Schiller Rd
Emmett, ID 83617-9747
Phone: (208) 345-4647
Approximate (ZIP-level) locationGet directions
Mailing address
2378 Schiller Rd
Emmett, ID 83617-9747
Registry dates
- Enumerated
- 2020-05-28
- Last updated
- 2020-05-28
- Certified
- 2020-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.