Healthcare Provider Details

I. General information

NPI: 1689876914
Provider Name (Legal Business Name): HOLLIE ELAINE PERLOW-SCHMIDT RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17752 W ACAPULCO LN
SURPRISE AZ
85388-8730
US

IV. Provider business mailing address

17752 W ACAPULCO LN
SURPRISE AZ
85388-8730
US

V. Phone/Fax

Practice location:
  • Phone: 623-824-1095
  • Fax:
Mailing address:
  • Phone: 623-824-1095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN078413
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN078413
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163WX1100X
TaxonomyOphthalmic Registered Nurse
License NumberRN078413
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: