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

Leah Nydam, IBCLC

Individual provider Lactation Consultant (Registered Nurse) · NPI 1033991815

Leah Nydam, IBCLC is a Lactation Consultant (Registered Nurse) in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2023.

Licensed in
WY
In the registry since
2023

Practice location Address checks out

625 E Broadway Ave
Jackson, WY 83001-8642
Phone: (307) 739-7572
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence L-311500 (WY)

Record details

NPI number1033991815
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorNo
NPI enumeratedOctober 17, 2023
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023
Mailing address625 E Broadway Ave, Jackson, WY 83001-8642