IndividualActive
Trine Bradshaw, IBCLC
NPI 1396101077 · Lactation Consultant (Non-RN) · Mesa, AZ
Provider details
- NPI number
- 1396101077
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-17897 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
9709 E Impala Ave
Mesa, AZ 85209-7044
Phone: (480) 242-5588
Approximate (ZIP-level) locationGet directions
Mailing address
9709 E Impala Ave
Mesa, AZ 85209-7044
Registry dates
- Enumerated
- 2016-01-11
- Last updated
- 2016-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.