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Eileen Kim Petrocelli, IBCLC
Lactation Consultant (Non-RN) in Prescott Valley, Arizona
NPI 1295087203

Eileen Kim Petrocelli is a Lactation Consultant (Non-RN) based in Prescott, AZ. Eileen Kim Petrocelli practices in Prescott Valley, AZ and has the professional credentials of IBCLC. The NPI Number for Eileen Kim Petrocelli is 1295087203 and holds a License No. 11132727 (Arizona).

The current practice location address for Eileen Kim Petrocelli is 3212 N Windsong Dr, Prescott Valley, AZ and can be reached out via phone at 928-583-1037 and via fax at 928-771-3379.

Location: 3212 N Windsong Dr, Prescott Valley, AZ, 86305-3700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295087203
Provider Name
Eileen Kim Petrocelli
Credential
IBCLC
Provider Entity Type
Individual
Gender
Female
Address
3212 N Windsong Dr, Prescott Valley, AZ, 86305-3700
Phone Number
928-583-1037
Fax Number
928-771-3379
Provider Enumeration Date
10/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11132727 01 AZ IBCLC
institution
Provider Business Practice Location Address Details
Address
3212 N Windsong Dr
City
Prescott Valley
State
Arizona
Zip
86314-2255
Phone Number
928-583-1037
Fax Number
928-771-3379
person
Provider Business Mailing Address Details
Address
3212 N Windsong Dr
City
Prescott Valley
State
Arizona
Zip
86314-2255
Phone Number
928-583-1037
Fax Number
928-771-3379
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lactation Consultant, Non-RN
Speciality
-
Taxonomy
174N00000X
License No.
11132727 (Arizona)
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
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PRESCOTT VALLEY, AZ
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