Individual provider · Type 1 NPI
Stephanie Ann Bodak Nicholson, IBCLC
Lactation Consultant (Non-RN) · Moody, TX
NPI number
1407503717
Active
Practice location
15047 Dove Rd
Moody, TX 76557-3160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Non-RN) Primary | 174N00000X | L-301558 (TX) |
Lactation Consultant (Non-RN): An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
About NPI 1407503717
Stephanie Ann Bodak Nicholson, IBCLC's National Provider Identifier is 1407503717, issued on Mar 7, 2022. The primary taxonomy on file is Lactation Consultant (Non-RN) (174N00000X), and the practice location is in Moody, TX. The record was last updated on Mar 7, 2022.