Provider Demographics
NPI:1811704018
Name:WOODS, DANIELLE (RN IBCLC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:RN IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 E BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:INTERVALE
Mailing Address - State:NH
Mailing Address - Zip Code:03845-6129
Mailing Address - Country:US
Mailing Address - Phone:617-413-6352
Mailing Address - Fax:
Practice Address - Street 1:60 E BRANCH RD
Practice Address - Street 2:
Practice Address - City:INTERVALE
Practice Address - State:NH
Practice Address - Zip Code:03845-6129
Practice Address - Country:US
Practice Address - Phone:617-413-6352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH110209-21163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant