Individual
DANIELLE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 HARVEY ST, CHEYENNE, WY 82009-4595
(307) 262-4460
Mailing address
3600 HARVEY ST, CHEYENNE, WY 82009-4595
(307) 262-4460
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
DEEA2A6F9D
UT
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-315138
WY
Other
Enumeration date
07/17/2023
Last updated
12/17/2024
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