NPI 1518821586

Autumn Rose Wahl, IBCLC

Practitioner Lactation Consultant (Non-RN) Provo, UT

Practice location

Address: 260 E 200 N, Provo, UT 84606-3180
Phone: (801) 786-9613

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X

Other Lactation Consultant, Non-RN providers in Utah →

Registry record

NPI: 1518821586
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Dec 2025
Record last updated: 12 Dec 2025

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.