Individual provider · NPI-1
Melanie Conrad, RN/IBCLC
Registered Nurse, Lactation Consultant · Tempe, AZ
NPI number1891470688
StatusActive
Last updated in NPPESJun 19, 2023
Details
- NPI
- 1891470688
- Entity type
- Individual (NPI-1)
- Name
- Melanie Conrad
- Credential
- RN/IBCLC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2023
- Certification date
- Jun 19, 2023
- Last updated
- Jun 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WL0100X | Registered Nurse, Lactation Consultant | 281079 | AZ | Yes |
Practice location
8400 S Kyrene Rd Ste 126Tempe, AZ 85284-2172
Phone 480-442-8491
Mailing address
600 S Idaho Rd Lot 907Apache Junction, AZ 85119-5249
Phone 561-436-5891
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