NPI 1770264277

Carly Elizabeth Grace, RDIBCLC

Practitioner Lactation Consultant (Non-RN) Fayetteville, AR

Practice location

Address: 6035 W Transit St, Fayetteville, AR 72704-5097
Phone: (479) 485-1215
Mailing address: 3069 N Night Heron Dr, Fayetteville, AR 72704-5007

Registered specialties (2)

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X

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Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1140 (AR)

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Registry record

NPI: 1770264277
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2023
Record last updated: 27 Jul 2023

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.