Provider Demographics
NPI:1790033702
Name:PERINA, JOY ELIZABETH (RN BSN IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ELIZABETH
Last Name:PERINA
Suffix:
Gender:F
Credentials:RN BSN IBCLC
Other - Prefix:MS
Other - First Name:JOY
Other - Middle Name:ELIZABETH
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12565 W CENTER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-3802
Mailing Address - Country:US
Mailing Address - Phone:402-215-9506
Mailing Address - Fax:402-342-5587
Practice Address - Street 1:12565 W CENTER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-3802
Practice Address - Country:US
Practice Address - Phone:402-215-9506
Practice Address - Fax:402-342-5587
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-22
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE73395163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant