Provider Demographics
NPI:1427497387
Name:BLUHM, MARTHA MARIE (RN IBCLC)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:MARIE
Last Name:BLUHM
Suffix:
Gender:F
Credentials:RN IBCLC
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Mailing Address - Street 1:8632 CASTLEBAY DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-1861
Mailing Address - Country:US
Mailing Address - Phone:980-226-5099
Mailing Address - Fax:980-226-5099
Practice Address - Street 1:8632 CASTLEBAY DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-1861
Practice Address - Country:US
Practice Address - Phone:980-226-5099
Practice Address - Fax:980-226-5099
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC187117163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant