National Provider Identifier Database

NETTLE AND MOON WELLNESS LLC
Lactation Consultant


Contact Information

NETTLE AND MOON WELLNESS LLC
10450 SHAKER DR STE 108
COLUMBIA, MD21046-2347
Phone: 443-227-5862
Fax:
Website:
Specialty Taxonomy Code
* Lactation Consultant 163WL0100X

* Indicates primary specialty

NPI Profile & details for NETTLE AND MOON WELLNESS LLC

NPI Number 1194601641
Legal business name
LBN
NETTLE AND MOON WELLNESS LLC
Authorized official RONNA WADDELL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/12/2025
Last updated 08/12/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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