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MYRA WILSON IBCLC
NPI 1407797152
Lactation Consultant, Non-RN in Corona, CA

Active since April 04, 2026
802 KINGSGATE DR, CORONA, CA 92882(951) 223-6966 Get Directions Write a Review

NPPES record last updated: April 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myra Wilson Ibclc NPPES

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

MYRA WILSON IBCLC (NPI 1407797152) is an individual lactation consultant, non-rn provider in Corona, California and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1407797152
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameMYRA WILSONCredential: IBCLC
Location Address802 KINGSGATE DRCorona, CA 92882-6864
Mailing Address802 Kingsgate DrCorona, CA 92882-6864 · (951) 223-6966
Phone(951) 223-6966
Sole ProprietorYes
Enumeration DateApril 4, 2026
NPPES CertifiedApril 4, 2026
✔ NPI 1407797152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
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.
802 KINGSGATE DR, Corona, CA 92882
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Myra Wilson's NPI number?

The NPI number for Myra Wilson is 1407797152. It was assigned to this individual provider in the NPPES registry on April 4, 2026.

Where is Myra Wilson located?

Myra Wilson practices at 802 Kingsgate Dr, Corona, CA 92882. The listed phone number is (951) 223-6966.

What is Myra Wilson'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 Myra Wilson was last updated on April 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.