Individual
DANIELLE GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN,RNC-MNN,IBCLC
Contact information
Practice address
3510 S NOVA RD STE 111, PORT ORANGE, FL 32129-3796
(386) 310-9401
Mailing address
960 COUNTRYSIDE WEST BLVD, PORT ORANGE, FL 32127-7988
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
9565465
FL
163WM0102X
Maternal Newborn Registered Nurse
9565465
FL
Other
Enumeration date
01/25/2023
Last updated
04/22/2025
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