Doctor Name: | BRENDA WHITE |
NPI Number: | 1780855882 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, IBCLC, CCE |
License Number: | 199-16122 |
Business Practice Address: | 1502 Baytree Ter Mitchellville, MD - 207212384 |
Business Phone Number: | 3013364726 |
Business Fax Number: | |
Mailing Address: | 12530 Fairwood Pkwy, Suite 101-14 BOWIE |
State: | MD |
Postal Code: | 207206356 |
Phone Number: | 3013364726 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2008 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 199-16122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |