Healthcare Provider Details

I. General information

NPI: 1104628346
Provider Name (Legal Business Name): ORIANA ASCANIO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2912 BYWATER DR APT 103
HENRICO VA
23233-6602
US

IV. Provider business mailing address

2912 BYWATER DR APT 103
HENRICO VA
23233-6602
US

V. Phone/Fax

Practice location:
  • Phone: 804-503-9621
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-315515
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: