Individual provider · Type 1 NPI

Imani Sade Mallard, RN, IBCLC

Lactation Consultant (Registered Nurse) · Washington, DC

NPI number 1285511683 Active

Practice location

1020 19th St NW Ste 150
Washington, DC 20036-6103

Mailing address

10945 Price Manor Way
Laurel, MD 20723-6036

Specialties and licenses

TaxonomyCodeLicense
Neonatal Intensive Care Registered Nurse 163WN0002XR254502 (MD)
Low-Risk Neonatal Registered Nurse 163WN0003XRN500016940 (DC)
Lactation Consultant (Registered Nurse) Primary 163WL0100XL-319151 (MD)

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

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About NPI 1285511683

Imani Sade Mallard, RN, IBCLC's National Provider Identifier is 1285511683, issued on Aug 18, 2025. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Washington, DC. The record was last updated on Aug 18, 2025.