Individual
NICHOLANNA PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
505 MOUNT PARNASSUS RD, EAST HADDAM, CT 06423-1532
(860) 729-2970
Mailing address
505 MOUNT PARNASSUS RD, EAST HADDAM, CT 06423-1532
(860) 729-2970
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
129988
CT
Other
Enumeration date
08/30/2018
Last updated
02/02/2022
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