Madelyn Pennings, CLC
Lactation Consultant, Non-RN in Vadnais Heights, MN. Individual provider (NPI-1).
NPI number1619708641
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1619708641
- Entity type
- Individual (NPI-1)
- Name
- Madelyn Pennings
- Credential
- CLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2024
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | L-319274 | – | Yes |
| 146L00000X | Emergency Medical Technician, Paramedic | – | – | |
| 174400000X | Specialist | – | – |
Practice location
642 Hiawatha AveVadnais Heights, MN 55127-5115
Phone 612-389-7186
Mailing address
642 Hiawatha AveVadnais Heights, MN 55127-5115
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