Provider Demographics
NPI:1669209342
Name:LITVINOV, DARIA (CD(DONA), CCCE)
Entity type:Individual
Prefix:
First Name:DARIA
Middle Name:
Last Name:LITVINOV
Suffix:
Gender:F
Credentials:CD(DONA), CCCE
Other - Prefix:
Other - First Name:DASHA
Other - Middle Name:
Other - Last Name:LITVINOV
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:13232 119TH PL NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-2100
Mailing Address - Country:US
Mailing Address - Phone:206-733-0860
Mailing Address - Fax:
Practice Address - Street 1:13232 119TH PL NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-2100
Practice Address - Country:US
Practice Address - Phone:206-733-0860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator