Individual provider · NPI-1

Erica Glaze, IBCLC

Lactation Consultant, Non-RN · Tempe, AZ

NPI number1427732791
StatusActive
Last updated in NPPESApr 8, 2026

Details

NPI
1427732791
Entity type
Individual (NPI-1)
Name
Erica Glaze
Credential
IBCLC
Sex
Female
Sole proprietor
No
Enumeration date
Jun 14, 2023
Certification date
Apr 8, 2026
Last updated
Apr 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174N00000X Lactation Consultant, Non-RN––Yes

Practice location

209 E Baseline Rd Ste E208
Tempe, AZ 85283-1388

Phone 602-691-5862 · Fax 602-926-2081

Mailing address

315 W Elliot Rd Ste 107
Tempe, AZ 85284-1328

Phone 602-691-5862

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