Rebecca Antaya, RDN, IBCLC
Lactation Consultant, Non-RN in Wyoming, MI. Individual provider (NPI-1).
NPI number1669952289
StatusActive
Last updated in NPPESMar 11, 2026
Details
- NPI
- 1669952289
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Antaya
- Credential
- RDN, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 14, 2018
- Certification date
- Mar 11, 2026
- Last updated
- Mar 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | L-141903 | – | Yes |
| 133V00000X | Dietitian, Registered | 846899 | MI |
Practice location
5503 Albright Ave SwWyoming, MI 49418-9780
Phone 616-403-0786
Mailing address
5503 Albright Ave SwWyoming, MI 49418-9780
Phone 616-403-0786
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