IndividualActive
Angela Kimmins, IBCLC
NPI 1114485729 · Lactation Consultant (Registered Nurse) · Show Low, AZ
Provider details
- NPI number
- 1114485729
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN108238 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
461 N 9th Dr
Show Low, AZ 85901-4562
Phone: (928) 607-7838
Approximate (ZIP-level) locationGet directions
Mailing address
461 N 9th Dr
Show Low, AZ 85901-4562
Registry dates
- Enumerated
- 2019-03-04
- Last updated
- 2019-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.