Individual
SHELBIE RADOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN, IBCLC
Contact information
Practice address
1974 WINDOM PL, LOVELAND, CO 80538-7033
(307) 760-5462
Mailing address
1974 WINDOM PL, LOVELAND, CO 80538-7033
(307) 760-5462
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0183351
CO
163WM0102X
Maternal Newborn Registered Nurse
0183351
CO
163WP0200X
Pediatric Registered Nurse
0183351
CO
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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