Healthcare Provider Details

I. General information

NPI: 1447059761
Provider Name (Legal Business Name): CHELSEA WILHELM RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 S SOUTHEAST BLVD STE A
SPOKANE WA
99223-3540
US

IV. Provider business mailing address

3010 S SOUTHEAST BLVD STE A
SPOKANE WA
99223-3540
US

V. Phone/Fax

Practice location:
  • Phone: 509-352-3777
  • Fax: 509-343-3717
Mailing address:
  • Phone: 509-352-3777
  • Fax: 509-343-3717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN60464730
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: