Individual
MRS. STEPHANIE KRISTINA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
4246 N 96TH ST, WAUWATOSA, WI 53222-1531
(847) 951-9714
Mailing address
4246 N 96TH ST, WAUWATOSA, WI 53222-1531
(847) 951-9714
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
176381-30
WI
Other
Enumeration date
05/01/2022
Last updated
05/01/2022
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