Provider Demographics
NPI:1679446231
Name:MEADER, MICHELLE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:MEADER
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 1:21 GRANDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-1536
Mailing Address - Country:US
Mailing Address - Phone:603-723-6722
Mailing Address - Fax:
Practice Address - Street 1:21 GRANDVIEW DR
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-1536
Practice Address - Country:US
Practice Address - Phone:603-723-6722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH059809-21163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty