Provider Demographics
NPI:1477095131
Name:ARIZONA BREASTFEEDING MEDICINE AND WELLNESS LLC
Entity type:Organization
Organization Name:ARIZONA BREASTFEEDING MEDICINE AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:RIEK
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-BC, IBCLC
Authorized Official - Phone:480-208-1490
Mailing Address - Street 1:7730 E GREENWAY RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1787
Mailing Address - Country:US
Mailing Address - Phone:480-508-0861
Mailing Address - Fax:480-447-8890
Practice Address - Street 1:7730 E GREENWAY RD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-508-0861
Practice Address - Fax:480-447-8890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-12
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty