Provider Demographics
NPI:1861160236
Name:PRICE, HEATHER D (IBCLC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:D
Last Name:PRICE
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 EAGLE TRL
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-4717
Mailing Address - Country:US
Mailing Address - Phone:615-289-0368
Mailing Address - Fax:
Practice Address - Street 1:401 EAGLE TRL
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-4717
Practice Address - Country:US
Practice Address - Phone:615-289-0368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN