Individual provider · Type 1 NPI

Stacy Connelly, RN, IBCLC

Lactation Consultant (Registered Nurse) · Alexandria, VA

NPI number 1093322596 Active

Practice location

4320 Seminary Rd
Alexandria, VA 22304-1535

Mailing address

4924 25th St S
Arlington, VA 22206-1051

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) Primary 163WL0100XR174110 (MD)

Lactation Consultant (Registered Nurse): Definition to come...

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About NPI 1093322596

Stacy Connelly, RN, IBCLC's National Provider Identifier is 1093322596, issued on Sep 28, 2020. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Alexandria, VA. The record was last updated on Sep 28, 2020.