Riana Michelle Damjanovich, RN, BAN, IBCLC, RLC

Individual provider Active NPI Lactation Consultant (Registered Nurse) · Hibbing, MN

NPI 1619227147 · NPPES record last updated May 29, 2014

Key facts

NPI
1619227147
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Registered Nurse) 163WL0100X
License
11152034 (MN)
Practice address
750 E 34TH St
Hibbing, MN 55746-2341
Phone
(218) 362-6641
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
11152034MNMDLactation Consultant (Registered Nurse)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 11152034 MN Yes

Addresses

Primary practice location

750 E 34TH St
Hibbing, MN 55746-2341

Mailing address

750 E 34TH St
Hibbing, MN 55746-2341
Phone (218) 362-6641

Other providers in Hibbing, MN

All providers in Hibbing, MN · Lactation Consultant (Registered Nurse) in Minnesota

Sources for this page

Verify at the official NPI Registry.