Provider Demographics
NPI:1538633151
Name:KEYS, NADIA AMBER (LVN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:AMBER
Last Name:KEYS
Suffix:
Gender:F
Credentials:LVN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6313 RICHMOND DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-3911
Mailing Address - Country:US
Mailing Address - Phone:214-693-1130
Mailing Address - Fax:
Practice Address - Street 1:6313 RICHMOND DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-3911
Practice Address - Country:US
Practice Address - Phone:214-693-1130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX322415164X00000X
TXL-108392174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No164X00000XNursing Service ProvidersLicensed Vocational Nurse