Provider Demographics
NPI:1467790964
Name:DOYEN, VIOLET MARY (RNC, CLC, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:VIOLET
Middle Name:MARY
Last Name:DOYEN
Suffix:
Gender:F
Credentials:RNC, CLC, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2127 WATSON DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MO
Mailing Address - Zip Code:63755-3286
Mailing Address - Country:US
Mailing Address - Phone:573-204-7373
Mailing Address - Fax:
Practice Address - Street 1:2127 WATSON DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MO
Practice Address - Zip Code:63755-3286
Practice Address - Country:US
Practice Address - Phone:573-204-7373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO147400163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant