Provider Demographics
NPI:1043979339
Name:SPITALERI, ANNA LOUISE (IBCLC, CLC)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:LOUISE
Last Name:SPITALERI
Suffix:
Gender:F
Credentials:IBCLC, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 OLD FARM RD
Mailing Address - Street 2:
Mailing Address - City:BEDMINSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07921-2553
Mailing Address - Country:US
Mailing Address - Phone:908-938-9178
Mailing Address - Fax:
Practice Address - Street 1:4 OLD FARM RD
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-2553
Practice Address - Country:US
Practice Address - Phone:908-375-8169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-306115174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN