Provider Demographics
NPI:1477351088
Name:CALLAHAN, LINDA BREDE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:BREDE
Last Name:CALLAHAN
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 1:9558 18TH BAY ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-6224
Mailing Address - Country:US
Mailing Address - Phone:804-334-2924
Mailing Address - Fax:
Practice Address - Street 1:9558 18TH BAY ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-6224
Practice Address - Country:US
Practice Address - Phone:804-334-2924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1280359163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant