Individual
STEPHANIE RODRIGUEZ-NINMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
170 TILLARY ST APT 506, BROOKLYN, NY 11201-2060
(612) 310-0368
Mailing address
170 TILLARY ST APT 506, BROOKLYN, NY 11201-2060
(612) 310-0368
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
659955
NY
163WX0003X
Inpatient Obstetric Registered Nurse
659955
NY
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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