Provider Demographics
NPI:1013395169
Name:SALISBURY, NICHOLE KIRKLAND (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:NICHOLE
Middle Name:KIRKLAND
Last Name:SALISBURY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21363 ESCONDIDO WAY S
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-2526
Mailing Address - Country:US
Mailing Address - Phone:954-520-0863
Mailing Address - Fax:
Practice Address - Street 1:21363 ESCONDIDO WAY S
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-2526
Practice Address - Country:US
Practice Address - Phone:954-520-0863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-09
Last Update Date:2015-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3399412163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant