Dana Marie Churness, CLC, CPM, CD(DONA)
Individual provider Active NPI Midwife · Herbster, WI
NPI 1619337094 · NPPES record last updated Feb 29, 2016
Key facts
- NPI
- 1619337094
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 147 (WI)
- Practice address
- 86495 Lenawee Rd
Herbster, WI 54844-4404 - Phone
- (715) 813-0441
- Fax
- (715) 292-6472
- NPI assigned
- Feb 29, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00016821 | WI | MD | Health Educator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 00016821 | WI | |
| Lactation Consultant (Non-RN) | 174N00000X | MN | ||
| Midwife | 176B00000X | 147 | WI | Yes |
Addresses
Primary practice location
86495 Lenawee Rd
Herbster, WI 54844-4404
Mailing address
86495 Lenawee Rd
Herbster, WI 54844-4404
Phone (715) 813-0441
Other providers in Herbster, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.