Danielle McMillan, IBCLC

Individual provider Active NPI Lactation Consultant (Non-RN) · Coeburn, VA

NPI 1730648486 · NPPES record last updated Dec 14, 2023

Key facts

NPI
1730648486
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
License
L-314143 (VA)
Practice address
210 North St NE
Coeburn, VA 24230-4002
Phone
(276) 337-0142
NPI assigned
Mar 12, 2019
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

State licenses

LicenseStateTypeSpecialty
255220VAMDLactation Consultant (Non-RN)
L-314143VAMDLactation Consultant (Non-RN)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 255220 VA
Lactation Consultant (Non-RN) 174N00000X L-314143 VA Yes

Addresses

Primary practice location

210 North St NE
Coeburn, VA 24230-4002

Mailing address

210 North St NE
Coeburn, VA 24230-4002
Phone (276) 337-0142

Other providers in Coeburn, VA

All providers in Coeburn, VA · Lactation Consultant (Non-RN) in Virginia

Sources for this page

Verify at the official NPI Registry.