Healthcare Provider Details
I. General information
NPI: 1881509024
Provider Name (Legal Business Name): AZ BREASTFED BABIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10880 N 32ND ST STE 27
PHOENIX AZ
85028-3214
US
IV. Provider business mailing address
14207 N 21ST ST
PHOENIX AZ
85022-4685
US
V. Phone/Fax
- Phone: 623-687-6659
- Fax: 480-637-7812
- Phone: 623-687-6659
- Fax: 480-637-7812
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WL0100X |
| Taxonomy | Lactation Consultant (Registered Nurse) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMEY
FIELDS
Title or Position: OWNER
Credential: RN, IBCLC
Phone: 623-687-6659