OrganizationActive
Green Country Lactation LLC
NPI 1902373327 · Lactation Consultant (Registered Nurse) · Broken Arrow, OK
Provider details
- NPI number
- 1902373327
- Entity type
- Organization
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Organization subpart
- No
- Authorized official
- Kim Parris, Administrator/Co-Owner(918) 671-4876
Specialties & taxonomies
Nursing Service Providers
Practice location
809 W Juneau St
Broken Arrow, OK 74012-0765
Phone: (918) 671-4876
Fax: (918) 744-9657
Approximate (ZIP-level) locationGet directions
Mailing address
809 W Juneau St
Broken Arrow, OK 74012-0765
Registry dates
- Enumerated
- 2018-10-24
- Last updated
- 2018-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.