Provider Demographics
NPI:1417347824
Name:ADMIRE, DARLENE (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:
Last Name:ADMIRE
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10011 REGAL WOODS LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-5120
Mailing Address - Country:US
Mailing Address - Phone:813-215-3097
Mailing Address - Fax:
Practice Address - Street 1:10011 REGAL WOODS LN
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-5120
Practice Address - Country:US
Practice Address - Phone:813-215-3097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1074982163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant