OrganizationActive
Professional Breastfeeding Support LLC
NPI 1902266919 · Lactation Consultant (Registered Nurse) · Waterford, MI
Provider details
- NPI number
- 1902266919
- Entity type
- Organization
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Organization subpart
- No
- Authorized official
- Pamela Anzicek, Owner/Ibclc(248) 795-1984
Specialties & taxonomies
Nursing Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Lactation Consultant (Non-RN)174N00000X
Other Service Providers
Practice location
4630 W Walton Blvd
Waterford, MI 48329-3535
Phone: (248) 795-1984
Approximate (ZIP-level) locationGet directions
Mailing address
4630 W Walton Blvd
Waterford, MI 48329-3535
Registry dates
- Enumerated
- 2016-03-03
- Last updated
- 2016-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.