Provider Demographics
NPI:1023602729
Name:HODGSON, BRIANA DOOLITTLE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:DOOLITTLE
Last Name:HODGSON
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:VAUGHN
Other - Last Name:DOOLITTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3010 PLYMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1909
Mailing Address - Country:US
Mailing Address - Phone:510-529-5457
Mailing Address - Fax:
Practice Address - Street 1:3010 PLYMOUTH DR
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1909
Practice Address - Country:US
Practice Address - Phone:510-529-5457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA774388163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant