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

Nicole Marie Rose

Individual provider Lactation Consultant (Non-RN) · NPI 1518671916

Nicole Marie Rose is a Lactation Consultant (Non-RN) in Newbury Park, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

152 Bluefield Ave
Newbury Park, CA 91320-4229
Phone: (818) 481-8402
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-309472 (CA)

Record details

NPI number1518671916
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 10, 2023
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023