Healthcare Provider Details

I. General information

NPI: 1962166454
Provider Name (Legal Business Name): ADRIANA CUEVAS VELARDE CPM, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ADRIANA CUEVAS

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 10/29/2021
Certification Date: 10/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 LAGUNA WAY
SACRAMENTO CA
95864-2922
US

IV. Provider business mailing address

3701 LAGUNA WAY
SACRAMENTO CA
95864-2922
US

V. Phone/Fax

Practice location:
  • Phone: 951-813-5166
  • Fax:
Mailing address:
  • Phone: 951-813-5166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-303180
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: