NPI 1396101077

Trine Bradshaw, IBCLC

Practitioner Lactation Consultant (Non-RN) Mesa, AZ

Practice location

Address: 9709 E Impala Ave, Mesa, AZ 85209-7044
Phone: (480) 242-5588

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence L-17897 (AZ)

Other Lactation Consultant, Non-RN providers in Arizona →

Registry record

NPI: 1396101077
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2016
Record last updated: 11 Jan 2016

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.