NANETTE PETERSEN IBCLC
NPI 1477288207
Lactation Consultant, Non-RN in Statesville, NC

Q: What is Nanette Petersen's NPI number?

The NPI number for Nanette Petersen is 1477288207. It was assigned to this individual provider in the NPPES registry on July 16, 2022. The provider is also known as Nanette Davis.

Q: What is Nanette Petersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nanette Petersen was last updated on July 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 16, 2022

716 PHILLIPS LN, STATESVILLE, NC 28625(704) 677-8004 Get Directions Write a Review

NPPES record last updated: July 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nanette Petersen Ibclc NPPES

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

NANETTE PETERSEN IBCLC (NPI 1477288207) is an individual lactation consultant, non-rn provider in Statesville, North Carolina, licensed in North Carolina (L23003) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1477288207

Entity TypeIndividualFemale

Primary Taxonomy174N00000X

Provider Legal NameNANETTE PETERSENCredential: IBCLC

Location Address716 PHILLIPS LNStatesville, NC 28625-4594

Mailing Address716 Phillips LnStatesville, NC 28625-4594 · (704) 677-8004

Phone(704) 677-8004

Sole ProprietorYes

Enumeration DateJuly 16, 2022

NPPES CertifiedJuly 16, 2022

✔ NPI 1477288207 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 NC · L23003

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.

716 PHILLIPS LN, Statesville, NC 28625

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Other Names 1

Former Name (1)Nanette Davis

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 Nanette Petersen's NPI number?

The NPI number for Nanette Petersen is 1477288207. It was assigned to this individual provider in the NPPES registry on July 16, 2022. The provider is also known as Nanette Davis.

Where is Nanette Petersen located?

Nanette Petersen practices at 716 Phillips Ln, Statesville, NC 28625. The listed phone number is (704) 677-8004.

What is Nanette Petersen'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 Nanette Petersen was last updated on July 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.