Individual provider · NPI-1
Michelle Nordblom Hottya, IBCLC, RLC
Lactation Consultant, Non-RN · Tempe, AZ
NPI number1992021000
StatusActive
Last updated in NPPESMar 23, 2024
Details
- NPI
- 1992021000
- Entity type
- Individual (NPI-1)
- Name
- Ms. Michelle Nordblom Hottya
- Credential
- IBCLC, RLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2010
- Certification date
- Mar 23, 2024
- Last updated
- Mar 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | L-46575 | – | Yes |
| 374J00000X | Doula | – | – |
Practice location
1753 E Broadway Rd # 411Tempe, AZ 85282-2081
Phone 480-420-8567
Mailing address
1753 E Broadway Rd # 411Tempe, AZ 85282-2081
Phone 480-420-8567
Other practice locations
4954 E Hilton Ave
Mesa, AZ 85206-3430
Mesa, AZ 85206-3430
Phone 480-420-8567
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