Healthcare Provider Details

I. General information

NPI: 1437958972
Provider Name (Legal Business Name): NICOLE ROWLETT-MILLS IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2025
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30132 W MULBERRY DR
BUCKEYE AZ
85396-3156
US

IV. Provider business mailing address

30132 W MULBERRY DR
BUCKEYE AZ
85396-3156
US

V. Phone/Fax

Practice location:
  • Phone: 971-291-3201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number324659
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number324659
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: