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Individual

MEREDITH CONRAD NIMITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CPN, IBCLC

Contact information

Practice address
10000 COOMBS FARM RD STE 106, MORGANTOWN, WV 26508-1157
(814) 244-3836
Mailing address
10000 COOMBS FARM RD STE 106, MORGANTOWN, WV 26508-1157
(814) 244-3836

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
112231
WV
163WL0100X
Lactation Consultant (Registered Nurse)
RN630974
PA

Other

Enumeration date
02/01/2022
Last updated
01/09/2024
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