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NPI Code Detail

MEDICARE: DANIELLE GIVENS RN, BSN, IBCLC

MEDICARE: DANIELLE GIVENS RN, BSN, IBCLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WL0100XLactation Consultant (Registered Nurse)L-317340NV

General Provider Information

NPI Number : 1316756554
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE GIVENS RN, BSN, IBCLC
Provider Business Mailing Address
First Line : 7267 PHLOX RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3225
Country : US
Telephone Number : 601-597-0418
Fax Number :
Provider Business Practice Location Address
First Line : 7267 PHLOX RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3225
Country : US
Telephone Number : 601-597-0418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2025
Last Update Date : 01/02/2025

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