Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-103766 | NC |
NPI | 1205325594 |
---|---|
Provider Name | Ms. Brandi Ann Nations |
First Address | Sylva, NC 28779-2722 |
Second Address | Sylva, NC 28779-2722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2018 |
Last Update Date | 02/05/2018 |