Provider Demographics
NPI:1366270548
Name:AUSTIN, SHAWN ELIZABETH (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:ELIZABETH
Last Name:AUSTIN
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 1:32 STREETER HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02556-3110
Mailing Address - Country:US
Mailing Address - Phone:617-435-7928
Mailing Address - Fax:
Practice Address - Street 1:32 STREETER HILL RD
Practice Address - Street 2:
Practice Address - City:NORTH FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02556-3110
Practice Address - Country:US
Practice Address - Phone:617-435-7928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-315436163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant