SearchMichigan174N00000X

Nicole Reid, IBCLC

NPI 1710228143 · on the registry since 2013 · sole proprietor

Practice

Address
2740 Innisbrook Dr
Portage, MI 49024
Phone
(269) 203-5484

Registry record

Primary taxonomy
174N00000X
174N00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-03-11

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 Michigan