Search › Texas › 174N00000X
Stephanie Bodak Nicholson, IBCLC
NPI 1407503717 · on the registry since 2022 · sole proprietor
Practice
- Address
- 15047 Dove Rd
Moody, TX 76557 - Phone
- (254) 913-6939
Registry record
- Primary taxonomy
- 174N00000X
174N00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas