Provider Demographics
NPI:1629616735
Name:BARIFFE, NATASHA B (LM, CPM, IBCLC)
Entity type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:B
Last Name:BARIFFE
Suffix:
Gender:F
Credentials:LM, CPM, IBCLC
Other - Prefix:
Other - First Name:SASHA
Other - Middle Name:B
Other - Last Name:BARIFFE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LM, CPM, IBCLC
Mailing Address - Street 1:3033 EXCELSIOR BLVD
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-4688
Mailing Address - Country:US
Mailing Address - Phone:612-345-5920
Mailing Address - Fax:
Practice Address - Street 1:3033 EXCELSIOR BLVD STE 585
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-6400
Practice Address - Country:US
Practice Address - Phone:612-345-5920
Practice Address - Fax:844-562-6828
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-19
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI248-049174N00000X, 176B00000X
MN1102176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty