Individual
NICHOLE MCCLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
12432 MORRIS DIDO NEWARK RD, FORT WORTH, TX 76179-9206
(303) 960-2422
Mailing address
12432 MORRIS DIDO NEWARK RD, FORT WORTH, TX 76179-9206
(303) 960-2422
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1126599
TX
163WL0100X
Lactation Consultant (Registered Nurse)
L-72667
TX
Other
Enumeration date
07/28/2022
Last updated
09/26/2024
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