Provider Demographics
NPI:1871999482
Name:ORR, REBECCA ERIN (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ERIN
Last Name:ORR
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:TALLEYVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19803-2578
Mailing Address - Country:US
Mailing Address - Phone:302-521-4920
Mailing Address - Fax:
Practice Address - Street 1:213 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:TALLEYVILLE
Practice Address - State:DE
Practice Address - Zip Code:19803-2578
Practice Address - Country:US
Practice Address - Phone:302-521-4920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELI-0029869163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant