Individual
MS. DIANE L HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
201 CLEMENT ST APT 203, BASALT, CO 81621-8482
(970) 948-8796
Mailing address
201 CLEMENT ST APT 203, BASALT, CO 81621-8482
(970) 948-8796
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
128860
CO
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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