Individual
BRANDI NICHOLE LOUGHERY GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
10440 LITTLE PATUXENT PKWY STE 800, COLUMBIA, MD 21044-3569
(301) 751-6016
Mailing address
207 AZALEA RD, COLONIAL BEACH, VA 22443-1220
(301) 751-6016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001255986
VA
163WL0100X
Lactation Consultant (Registered Nurse)
L-118673
VA
Other
Enumeration date
12/29/2017
Last updated
02/25/2022
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