IndividualActive
Amy Brucker, IBCLC
NPI 1669819595 · Lactation Consultant (Non-RN) · Vienna, VA
Provider details
- NPI number
- 1669819595
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11151036 (VA)
Specialties & taxonomies
Other Service Providers
Practice location
2313 Jackson Pkwy
Vienna, VA 22180-6914
Phone: (202) 437-2490
Approximate (ZIP-level) locationGet directions
Mailing address
2313 Jackson Pkwy
Vienna, VA 22180-6914
Registry dates
- Enumerated
- 2013-06-02
- Last updated
- 2013-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.