Individual
MRS. GABRIELLE DESIREE NELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
11 TRUMAN DR, BRICK, NJ 08724-3213
(732) 710-6236
Mailing address
11 TRUMAN DR, BRICK, NJ 08724-3213
(732) 710-6236
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
26NR19006400
NJ
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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