IndividualActive
Melissa Wilson, RN, IBCLC
NPI 1174152912 · Lactation Consultant (Registered Nurse) · Gambrills, MD
Provider details
- NPI number
- 1174152912
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- R148396 (MD)
Specialties & taxonomies
Nursing Service Providers
Practice location
905 Forksbridge Ct
Gambrills, MD 21054-1655
Phone: (301) 266-0475
Approximate (ZIP-level) locationGet directions
Mailing address
905 Forksbridge Ct
Gambrills, MD 21054-1655
Registry dates
- Enumerated
- 2020-04-03
- Last updated
- 2020-04-03
- Certified
- 2020-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.