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EILEEN KIM PETROCELLI IBCLC
NPI 1295087203
Lactation Consultant, Non-RN in Prescott Valley, AZ

Active since October 15, 2012
3212 N WINDSONG DR, 2ND FLOOR, PRESCOTT VALLEY, AZ 86314(928) 583-1037(928) 771-3379 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eileen Kim Petrocelli Ibclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EILEEN KIM PETROCELLI IBCLC (NPI 1295087203) is an individual lactation consultant, non-rn provider in Prescott Valley, Arizona, licensed in Arizona (11132727) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1295087203
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameEILEEN KIM PETROCELLICredential: IBCLC
Location Address3212 N WINDSONG DR, 2ND FLOORPrescott Valley, AZ 86314-2255
Mailing Address1090 Commerce DrPrescott, AZ 86305-3700 · (928) 771-3121 · Fax (928) 771-3369
Phone(928) 583-1037
Fax(928) 771-3379
Sole ProprietorNo
Enumeration DateOctober 15, 2012
✔ NPI 1295087203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License✔ Licensed in AZ · 11132727
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
3212 N WINDSONG DR, Prescott Valley, AZ 86314
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Other Names 1

Former Name (1)Eileen Macmullen

Other Identifiers 1

Other11132727AZ · Ibclc

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURAINE M JACKSON FNP-BC
Nurse Practitioner (Family)
3212 N WINDSONG DR, SUITE 200
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 583-1000
DAVID JENSON DNP, PMHNP, FNP
Nurse Practitioner (Psychiatric/Mental Health)
3212 N WINDSONG DR, SUITE 200
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 583-1000
PEARL TAPIA IBCLC
Lactation Consultant, Non-RN
3212 N WINDSONG DR, 2ND FLOOR
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 583-1021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eileen Petrocelli's NPI number?

The NPI number for Eileen Petrocelli is 1295087203. It was assigned to this individual provider in the NPPES registry on October 15, 2012. The provider is also known as Eileen Macmullen.

Where is Eileen Petrocelli located?

Eileen Petrocelli practices at 3212 N Windsong Dr 2nd Floor, Prescott Valley, AZ 86314. The listed phone number is (928) 583-1037.

What is Eileen Petrocelli's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

When was this NPI record last updated?

The NPPES record for Eileen Petrocelli was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.