Provider Demographics
NPI:1225904287
Name:PARKER, AMBER LELIA (RN, BSN, IBCLC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LELIA
Last Name:PARKER
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17837 W COUNTRY CLUB TER
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85387-4036
Mailing Address - Country:US
Mailing Address - Phone:503-840-7380
Mailing Address - Fax:
Practice Address - Street 1:17837 W COUNTRY CLUB TER
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85387-4036
Practice Address - Country:US
Practice Address - Phone:503-840-7380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ271659163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant