Provider Demographics
NPI:1528827656
Name:MCDONALD, BRITTANY NICOLE (RN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:NICOLE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:NICOLE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, IBCLC,
Mailing Address - Street 1:29 ELEPHANT CT
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-1001
Mailing Address - Country:US
Mailing Address - Phone:304-642-8707
Mailing Address - Fax:
Practice Address - Street 1:29 ELEPHANT CT
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-1001
Practice Address - Country:US
Practice Address - Phone:304-642-8707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVL-309625163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant