NPI 1699017764

Amy S Peterson, IBCLC

Practitioner Lactation Consultant (Non-RN) Jerome, ID

Practice location

Address: 805 4th Ave Dr, Jerome, ID 83338-2104
Phone: (208) 308-1350
Fax: (208) 324-9628

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence 101-17560 (VA)

Other Lactation Consultant, Non-RN providers in Idaho →

Registry record

NPI: 1699017764
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2013
Record last updated: 26 Mar 2013

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.