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

Mrs. Gina Michelle Bausano

Individual provider Lactation Consultant (Non-RN) · NPI 1609678648

Mrs. Gina Michelle Bausano is a Lactation Consultant (Non-RN) in Shelby Township, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

11955 Raintree Ct
Shelby Township, MI 48315-1159
Phone: (586) 918-1377
Show map & directions

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

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X · Licence L-316882 (MI)

Record details

NPI number1609678648
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 27, 2025
Last updated in NPPESMarch 27, 2025
Certification dateMarch 22, 2025

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