Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Black, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1477959716

Amy Black, IBCLC is a Lactation Consultant (Non-RN) in Woodbridge, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2014
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Practice location Address checks out

14601 Estate Dr
Woodbridge, VA 22193-3203
Phone: (703) 405-9316
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Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X · Licence L-68538 (VA)

Record details

NPI number1477959716
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorYes
NPI enumeratedNovember 14, 2014
Last updated in NPPESNovember 14, 2014
Mailing address14601 Estate Dr, Woodbridge, VA 22193-3203

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