Healthcare Provider Details

I. General information

NPI: 1992223549
Provider Name (Legal Business Name): BERGHAN LEIGH DAYS RN, BSN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2017
Last Update Date: 09/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE HURLEY PLAZA
FLINT MI
48503
US

IV. Provider business mailing address

ONE HURLEY PLAZA PARENT EDUCATION: BERGHAN DAYS
FLINT MI
48503
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-9000
  • Fax:
Mailing address:
  • Phone: 810-262-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-126936
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: