Nydam, Leah

Nydam, Leah is an individual health care provider with primary practice located at 625 E Broadway Ave , Jackson WY 83001-8642. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Nydam, Leah can be contacted via phone (307) 739-7572.

Contact Information

Primary practice address
625 E Broadway Ave Jackson WY 83001-8642
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X L-311500 Wyoming

Profile Details

NPI number 1033991815
LBN Legal business name Nydam, Leah
Credentials IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2023
Last updated Oct 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers