Nastassia Davis, MSN, RN, IBCLC - Registered Nurse in West Orange, NJ

Nastassia Davis, MSN, RN, IBCLC is a Registered Nurse - Lactation Consultant based in West Orange, New Jersey. Nastassia Davis is licensed to practice in New Jersey (license number 26NR15908000) and her current practice location is 36 Randolph Pl, West Orange, New Jersey. She can be reached at her office (for appointments etc.) via phone at (914) 882-9475.

NPI number for Nastassia Davis is 1194179515 and her current mailing address is 191 Central Ave Ste 213, Newark, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194179515.

Contact Information

Nastassia Davis, MSN, RN, IBCLC
36 Randolph Pl,
West Orange, NJ 07052-4808
(914) 882-9475
(973) 860-2220

Map and Direction




Provider's Profile

Full NameNastassia Davis
GenderFemale
SpecialityRegistered Nurse - Lactation Consultant
Location36 Randolph Pl, West Orange, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194179515
  • Provider Enumeration Date: 04/21/2016
  • Last Update Date: 04/20/2019

Medical Identifiers

Medical identifiers for Nastassia Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194179515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WL0100XRegistered Nurse - Lactation Consultant 558884 (New York)Secondary
163WL0100XRegistered Nurse - Lactation Consultant 26NR15908000 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nastassia Davis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nastassia Davis, MSN, RN, IBCLC
191 Central Ave Ste 213,
Newark, NJ 07103-3921

Ph: (973) 488-7975
Nastassia Davis, MSN, RN, IBCLC
36 Randolph Pl,
West Orange, NJ 07052-4808

Ph: (914) 882-9475

Reviews and Comments


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