Provider Demographics
NPI:1669748075
Name:DASCHEL, DIANA SUZANNE (RN, IBCLC, CCE)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:SUZANNE
Last Name:DASCHEL
Suffix:
Gender:F
Credentials:RN, IBCLC, CCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9917 NE 322ND ST
Mailing Address - Street 2:
Mailing Address - City:LA CENTER
Mailing Address - State:WA
Mailing Address - Zip Code:98629-2843
Mailing Address - Country:US
Mailing Address - Phone:360-903-5309
Mailing Address - Fax:
Practice Address - Street 1:9917 NE 322ND ST
Practice Address - Street 2:
Practice Address - City:LA CENTER
Practice Address - State:WA
Practice Address - Zip Code:98629-2843
Practice Address - Country:US
Practice Address - Phone:360-903-5309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00134480163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant