Individual
STEPHANIE BROADHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, IBCLC
Contact information
Practice address
14419 FAIR KNOLL WAY, HOUSTON, TX 77062-2029
(281) 804-4337
Mailing address
14419 FAIR KNOLL WAY, HOUSTON, TX 77062-2029
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
655419
TX
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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