EILEEN KIM PETROCELLI IBCLC NPI 1295087203

NPI Information

NPI: 1295087203
Provider Name: EILEEN KIM PETROCELLI, IBCLC
Classification: Lactation Consultant, Non-RN - 174N00000X
Entity Type: Individual
Address:
3212 N WINDSONG DR
2ND FLOOR
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 583-1037
Get Directions

Eileen Kim Petrocelli, IBCLC is a lactation consultant non rn in Prescott Valley, AZ. The provider is an individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. Eileen Kim Petrocelli, IBCLC NPI is 1295087203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3212 N WINDSONG DR
2ND FLOOR
PRESCOTT VALLEY, AZ
ZIP 86314-255
Phone: (928) 583-1037
Fax: (928) 771-3379

The enumeration date for this NPI number is 10/15/2012 and was last updated on 10/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174N00000X	Lactation Consultant, Non-RN		11132727	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11132727	OTHER	ARIZONA	IBCLC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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