Healthcare Provider Details

I. General information

NPI: 1316756554
Provider Name (Legal Business Name): DANIELLE GIVENS RN, BSN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7267 PHLOX RD
LAS VEGAS NV
89113-3225
US

IV. Provider business mailing address

7267 PHLOX RD
LAS VEGAS NV
89113-3225
US

V. Phone/Fax

Practice location:
  • Phone: 601-597-0418
  • Fax:
Mailing address:
  • Phone: 601-597-0418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-317340
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: