Nalini Ghisiawan Dass, IBCLC, RCIS, RCES

Individual provider Active NPI Lactation Consultant (Non-RN) · Wimauma, FL

NPI 1285225607 · NPPES record last updated Jan 28, 2021

Key facts

NPI
1285225607
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
License
L-301407
Practice address
5209 Lake Siena Dr
Wimauma, FL 33598-4439
Phone
(941) 307-9374
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-301407 Yes

Addresses

Primary practice location

5209 Lake Siena Dr
Wimauma, FL 33598-4439

Mailing address

1645 Sun City Center Plaza
#6013
Sun City Center, FL 33573

Other providers in Wimauma, FL

All providers in Wimauma, FL · Lactation Consultant (Non-RN) in Florida

Sources for this page

Verify at the official NPI Registry.