Individual
MRS. SHELLEE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
120 WATERFRONT ST STE 420, #2041, NATIONAL HARBOR, MD 20745-1122
(301) 200-0059
Mailing address
120 WATERFRONT ST STE 420, #2041, NATIONAL HARBOR, MD 20745-1122
(301) 200-2059
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
4704283675
MI
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R227269
MD
163WL0100X
Lactation Consultant (Registered Nurse)
RN1044539
DC
Other
Enumeration date
08/24/2024
Last updated
07/14/2025
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