Individual
KRISTEN GISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
6697 RIDGE BLUFF DR, RURAL HALL, NC 27045-9873
(302) 354-8714
Mailing address
6697 RIDGE BLUFF DR, RURAL HALL, NC 27045-9873
(302) 354-8714
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
310314
NC
163WM0102X
Maternal Newborn Registered Nurse
310314
NC
374J00000X
Doula
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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