National Provider Identifier
Amanda Mary-Beth Wagnild, IBCLC
Amanda Mary-Beth Wagnild, IBCLC is listed in the NPPES registry with a primary specialty of Lactation Consultant (Non-RN) in Ithaca, NY and a listed phone number of (607) 220-6656.
Profile Overview
- NPI
- 1730591629
- Provider Type
- Individual
- Primary Specialty
- Lactation Consultant (Non-RN)
- Enumeration Date
- May 27, 2014
- Last Updated
- September 15, 2025
Practice Location
- 105 Terrace View Dr
- Ithaca, NY 14850-6256
Phone: (607) 220-6656
Specialties
- Lactation Consultant (Non-RN) (174N00000X)
- Doula (374J00000X)
Full Record
- NPI
- 1730591629
- Entity Type
- Individual
- Last Name
- Wagnild
- First Name
- Amanda
- Middle Name
- Mary-Beth
- Credential
- IBCLC
- Mailing Street Address
- 105 Terrace View Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-6256
- Mailing Country
- US
- Mailing Phone
- (607) 220-6656
- Practice Street Address
- 105 Terrace View Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-6256
- Practice Country
- US
- Practice Phone
- (607) 220-6656
- Enumeration Date
- May 27, 2014
- Last Updated
- September 15, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 15, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Lactation Consultant (Non-RN) (174N00000X), Doula (374J00000X)