JOANNA PETERSON RN IBCLC
NPI 1013627744
Registered Nurse - Lactation Consultant in Valencia, CA
Active since December 05, 2022
About Joanna Peterson Rn Ibclc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOANNA PETERSON RN IBCLC (NPI 1013627744) is an individual lactation consultant provider in Valencia, California, licensed in Oklahoma (R0092541) and active in the NPI registry since December 2022.
NPPES Registry Identity
NPI1013627744
Entity TypeIndividualFemale
Primary Taxonomy163WL0100X
Provider Legal NameJOANNA PETERSONCredential: RN IBCLC
Location Address23020 ASH GLEN CIRValencia, CA 91354-2001
Mailing Address4200 W Laredo StBroken Arrow, OK 74012-7576 · (661) 495-7768
Phone(661) 495-7768
Sole ProprietorNo
Enumeration DateDecember 5, 2022
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1013627744 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers
Taxonomy Code163WL0100X
License✔ Licensed in OK · R0092541
23020 ASH GLEN CIR, Valencia, CA 91354
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013627744, enumerated as an "individual" on December 05, 2022.
The provider is located at 23020 ASH GLEN CIR VALENCIA, CA 91354 and the phone number is (661) 495-7768.
Registered Nurse with taxonomy code 163WL0100X and a focus in Lactation Consultant.
