NPI 1295087203

Eileen Kim Petrocelli, IBCLC

Practitioner Lactation Consultant (Non-RN) Prescott Valley, AZ

Practice location

Address: 3212 N Windsong Dr 2nd Floor, Prescott Valley, AZ 86314-2255
Phone: (928) 583-1037
Fax: (928) 771-3379
Mailing address: 1090 Commerce Dr, Prescott, AZ 86305-3700

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence 11132727 (AZ)

Other Lactation Consultant, Non-RN providers in Arizona →

Registry record

NPI: 1295087203
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2012
Record last updated: 15 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.