Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Lactation Consultant |
163WL0100X |
| NPI # | 1740729466 |
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| LBN Legal business name | NEST COLLABORATIVE NURSING AND LACTATION SERVICES , PC | ||||
| Authorized official | SARAH RADER - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/14/2017 | ||||
| Last updated | 04/03/2026 - About 2 months ago | ||||
| Identifiers |
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