IndividualActive
Katrina Susca, RN, IBCLC
NPI 1669149183 · Lactation Consultant (Registered Nurse) · Hayden, ID
Provider details
- NPI number
- 1669149183
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN, IBCLC
- Sex
- Female
- Sole proprietor
- No
- License
- 63577 (ID)
Specialties & taxonomies
Nursing Service Providers
Practice location
1076 W Hayden Ave
Hayden, ID 83835-8793
Phone: (208) 772-2823
Approximate (ZIP-level) locationGet directions
Mailing address
19538 N Amber Ct
Rathdrum, ID 83858-7912
Registry dates
- Enumerated
- 2021-08-23
- Last updated
- 2021-08-23
- Certified
- 2021-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.