Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE ANN BODAK NICHOLSON, IBCLC
Active Sole ProprietorSTEPHANIE ANN BODAK NICHOLSON, IBCLC is a Lactation Consultant healthcare provider located in MOODY, Texas. NPI 1407503717 is currently active in the NPPES registry. Verify at CMS.
Lactation Consultant · MOODY, TX
Registration Details
- NPI Number
- 1407503717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2022 (4.4023863561246 yrs)
- Last Updated
- Mar 7, 2022
- License
-
L-301558 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15047 DOVE RDMOODY, TX, 765573160Browse TX providers · Browse ZIP 76557
- Phone
- 2549136939
- Primary Specialty
-
Lactation Consultant
174N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.