Individual
MRS. NANCY W. DERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
259 SURREY LN, STATESBORO, GA 30458-9199
(478) 299-0177
Mailing address
259 SURREY LN, STATESBORO, GA 30458-9199
(478) 299-0177
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN120742
GA
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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