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Contact Information

NETTLE AND MOON WELLNESS LLC
10450 SHAKER DR STE 108
COLUMBIA, MD21046-2347
 Phone: 443-227-5862
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Lactation Consultant

163WL0100X
Indicates primary specialty

NPI Profile & details for NETTLE AND MOON WELLNESS LLC

NPI # 1194601641
LBN Legal business name NETTLE AND MOON WELLNESS LLC
Authorized official RONNA WADDELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2025
Last updated 08/12/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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