Provider Demographics
NPI:1851126106
Name:BELL, NAKIARA (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:NAKIARA
Middle Name:
Last Name:BELL
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 1:5354 ASHLEIGH RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-7227
Mailing Address - Country:US
Mailing Address - Phone:571-289-1218
Mailing Address - Fax:
Practice Address - Street 1:5354 ASHLEIGH RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7227
Practice Address - Country:US
Practice Address - Phone:571-289-1218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001274318163WM0102X
VAL-315180163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn