Organization
NOURISHEDLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE ANTES RN, BSN, IBCLC (CO-OWNER)
(913) 210-2346
Entity
Organization
Contact information
Practice address
8826 SANTA FE DR STE 300, OVERLAND PARK, KS 66212-3672
(913) 210-2346
Mailing address
3104 W 154TH ST, OVERLAND PARK, KS 66224-3733
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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