Nanette Petersen, IBCLC
Lactation Consultant, Non-RN in Statesville, NC. Individual provider (NPI-1).
NPI number1477288207
StatusActive
Last updated in NPPESJul 16, 2022
Details
- NPI
- 1477288207
- Entity type
- Individual (NPI-1)
- Name
- Nanette Petersen
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2022
- Certification date
- Jul 16, 2022
- Last updated
- Jul 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | l23003 | NC | Yes |
Other names
- Nanette Davis (Former Name)
Practice location
716 Phillips LnStatesville, NC 28625-4594
Phone 704-677-8004
Mailing address
716 Phillips LnStatesville, NC 28625-4594
Phone 704-677-8004
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