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Eileen Kim Petrocelli

Lactation Consultant

3212 N Windsong Dr 2nd Floor
Prescott Valley , Arizona 86314-2255

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Eileen Kim Petrocelli

Lactation Consultant

3212 N Windsong Dr 2nd Floor
Prescott Valley , Arizona 86314-2255

(928) 771-3369

Write a Review Save Call

Eileen Kim Petrocelli

Lactation Consultant

3212 N Windsong Dr 2nd Floor
Prescott Valley , Arizona 86314-2255

(928) 771-3369 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Lactation Consultant

Languages spoken

  • English

Location

3212 N Windsong Dr 2nd Floor Prescott Valley , Arizona 86314-2255

First Address

  • Eileen Kim Petrocelli
  • 1090 Commerce Dr
  • Prescott, AZ
  • Zip : 86305-3700
  • Fax : (928) 771-3369
  • Phone : (928) 771-3121

Second Address

  • Eileen Kim Petrocelli
  • 3212 N Windsong Dr 2nd Floor
  • Prescott Valley, AZ
  • Zip : 86314-2255
  • Fax : (928) 771-3379
  • Phone : (928) 583-1037

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FAQs


Where did Eileen Kim Petrocelli attend graduate school?

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Where did Eileen Kim Petrocelli do her residency?

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Where did Eileen Kim Petrocelli do her fellowship?

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Is Eileen Kim Petrocelli board certified?

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What type of doctor is Eileen Kim Petrocelli

Lactation Consultant

In what state does Eileen Kim Petrocelli practice in?

Arizona

Where is Eileen Kim Petrocelli ’s practice located?

3212 N Windsong Dr 2nd Floor , Prescott Valley, Arizona, 86314-2255

What is Eileen Kim Petrocelli ’s gender?

Female

Is Eileen Kim Petrocelli a sole practitioner?

No

Is Eileen Kim Petrocelli accepting new patients?

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What languages does Eileen Kim Petrocelli speak?

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Does Eileen Kim Petrocelli accept insurance?

Yes, Eileen Kim Petrocelli accepts insurance

Does Eileen Kim Petrocelli offers telemedicine?

Eileen Kim Petrocelli has not indicated if she offers telemedicine

What is Eileen Kim Petrocelli ’s professional license number?

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What is Eileen Kim Petrocelli ’s NPI number?

1295087203

Does Eileen Kim Petrocelli have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 174N00000X Lactation Consultant 11132727 AZ

National Provider Identifier

NPI 1295087203
Provider Name Eileen Kim Petrocelli
First Address Prescott, AZ 86305-3700
Second Address Prescott Valley, AZ 86314-2255
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 15/10/2012
Last Update Date 15/10/2012

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
11132727 IBCLC (01) AZ

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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