Provider Demographics
NPI:1215739123
Name:BRAMEN, CAROLYN (BSN, IBCLC)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:BRAMEN
Suffix:
Gender:
Credentials:BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25609 GALE DR
Mailing Address - Street 2:
Mailing Address - City:STEVENSON RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91381-1670
Mailing Address - Country:US
Mailing Address - Phone:661-388-6308
Mailing Address - Fax:
Practice Address - Street 1:25609 GALE DR
Practice Address - Street 2:
Practice Address - City:STEVENSON RANCH
Practice Address - State:CA
Practice Address - Zip Code:91381-1670
Practice Address - Country:US
Practice Address - Phone:661-388-6308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA563180163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant