IndividualActive
Eileen Petrocelli, IBCLC
NPI 1295087203 · Lactation Consultant (Non-RN) · Prescott Valley, AZ
Provider details
- NPI number
- 1295087203
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- No
- License
- 11132727 (AZ)
Practice location
3212 N Windsong Dr
2nd Floor
Prescott Valley, AZ 86314-2255
Phone: (928) 583-1037
Fax: (928) 771-3379
Mailing address
1090 Commerce Dr
Prescott, AZ 86305-3700
Registry dates
- Enumerated
- 2012-10-15
- Last updated
- 2012-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.