Provider Demographics
NPI:1114800943
Name:KLEVEN, DIANA LOUISE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:LOUISE
Last Name:KLEVEN
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:LOUISE
Other - Last Name:DUNLAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1037 AUTUMN HARVEST DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-5637
Mailing Address - Country:US
Mailing Address - Phone:517-320-1243
Mailing Address - Fax:
Practice Address - Street 1:1037 AUTUMN HARVEST DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-5637
Practice Address - Country:US
Practice Address - Phone:517-320-1243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1334726163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant