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Stephanie Ann Bodak Nicholson, IBCLC
Lactation Consultant (Non-RN) in Moody, Texas
NPI 1407503717

Stephanie Ann Bodak Nicholson is a Lactation Consultant (Non-RN) based in Moody, TX. Stephanie Ann Bodak Nicholson practices in Moody, TX and has the professional credentials of IBCLC. The NPI Number for Stephanie Ann Bodak Nicholson is 1407503717 and holds a License No. L-301558 (Texas).

The current practice location address for Stephanie Ann Bodak Nicholson is 15047 Dove Rd, Moody, TX and can be reached out via phone at 254-913-6939.

Location: 15047 Dove Rd, Moody, TX, 76557-3160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407503717
Provider Name
Stephanie Ann Bodak Nicholson
Credential
IBCLC
Provider Entity Type
Individual
Gender
Female
Address
15047 Dove Rd, Moody, TX, 76557-3160
Phone Number
254-913-6939
Fax Number
Provider Enumeration Date
03/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15047 Dove Rd
City
Moody
State
Texas
Zip
76557-3160
Phone Number
254-913-6939
Fax Number
person
Provider Business Mailing Address Details
Address
15047 Dove Rd
City
Moody
State
Texas
Zip
76557-3160
Phone Number
254-913-6939
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lactation Consultant, Non-RN
Speciality
-
Taxonomy
174N00000X
License No.
L-301558 (Texas)
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
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