Individual
MRS. NIKKI RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
3179 APPLE RD NE, WASHINGTON, DC 20018-1605
(202) 664-4146
Mailing address
3179 APPLE RD NE, WASHINGTON, DC 20018-1605
(202) 664-4146
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1008722
DC
Other
Enumeration date
01/24/2015
Last updated
01/24/2015
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