Provider Demographics
NPI:1790586485
Name:WIENS, VALERIE DANELLE (IBCLC)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:DANELLE
Last Name:WIENS
Suffix:
Gender:
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17831 145TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-9202
Mailing Address - Country:US
Mailing Address - Phone:925-464-3140
Mailing Address - Fax:
Practice Address - Street 1:17831 145TH AVE SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-9202
Practice Address - Country:US
Practice Address - Phone:925-464-3140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN