MARYLOU SANDOVAL


Address: 3536 W San Juan Ave, Phoenix, AZ 85019-4514
Phone: 6239800347

MARYLOU SANDOVAL (NPI# 1073972915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073972915
Entity Type Individual
Full Name MARYLOU SANDOVAL
Credential IBCLC
Practice Address 3536 W San Juan Ave
Phoenix
AZ 85019-4514
Practice Telephone 6239800347
Mailing Telephone 6239800347
Enumeration Date 2016-02-21
Last Update Date 2016-02-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174N00000X Lactation Consultant, Non-RN L-29114 AZ Other Service Providers

Office Location

Street Address 3536 W SAN JUAN AVE
City PHOENIX
State AZ
Zip Code 85019-4514

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861964488 Roger Beck Slice Registered Nurse 6331 N. 39th Ave., Phoenix, AZ 85019 2018-12-20
1093204687 Patricia Enevy Gomez Jayme Physical Therapist 532 W Thomas Rd Suite 5, Phoenix, AZ 85019 2018-05-09
1396257762 Shirley Ann Furlong Licensed Practical Nurse Alhambra School District No 68, 4510 N 37th Avenue, Phoenix, AZ 85019 2017-10-25
1508253014 Benjamin Noel Zuniga Dentist 3542 W Camelback Rd, Phoenix, AZ 85019 2015-04-22
1063610475 German Dobson Cvs, L.L.C. Durable Medical Equipment & Medical Supplies Thomas & 43rd Ave, Phoenix, AZ 85019 2007-07-06
1558489575 Beverly Beierbach Wells Speech-Language Pathologist 3839 W Camelback Road, Phoenix, AZ 85019 2007-03-27
1497872600 Josefa Almanza Speech-Language Pathologist 4006 W Osborn Rd, Phoenix, AZ 85019 2007-03-23
1760550024 Steven C Chang Dentist 3608 W Camelback Rd, Phoenix, AZ 85019 2006-12-02
1891723623 George Figueroa Obstetrics & Gynecology 3660 W. Bethany Home Road, Suite A, Phoenix, AZ 85019 2006-06-29
1881169704 Janice Jinju Kim Dentist 3608 W Camelback Rd, Phoenix, AZ 85019 2018-10-07
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Taxonomy Information

Taxonomy Code 174N00000X
Grouping Other Service Providers
Classification Lactation Consultant, Non-RN

Taxonomy Definition

An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
Notes: Source: National Uniform Claim Committee [1/1/2011: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033653456 Carol Kidd Lactation Consultant, Non-RN 3424 W Tanya Trl, Phoenix, AZ 85086-4328 2016-12-05
1508319054 Holistic Lactation LLC Lactation Consultant, Non-RN 4717 N 33rd Pl, Phoenix, AZ 85018-3316 2016-08-02
1093144347 Kerri Christie Lactation Consultant, Non-RN 17806 N 34th Way, Phoenix, AZ 85032-1213 2013-11-07
1407285877 Marissa Honey-jones Lactation Consultant, Non-RN 2543 W Old Paint Trl, Phoenix, AZ 85086-5600 2013-11-06
1639423858 Estrella Zermeno Lactation Consultant, Non-RN 3620 N 6th Ave, Apt 109w, Phoenix, AZ 85013-3765 2012-11-09
1366952657 Ann Bennett Lactation Consultant, Non-RN 2113 Highland Ridge Dr, Phoenix, MD 21131-1217 2017-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649894379 Rhegan Riane Derfus Lactation Consultant, Non-RN 3865 Barraco Dr, Sierra Vista, AZ 85650-4211 2020-05-28
1366072266 Mirishka Elizabeth Gill Lactation Consultant, Non-RN 139 N 85th Pl, Mesa, AZ 85207-8669 2020-01-19
1063073963 Heather Marie Evans Lactation Consultant, Non-RN 9233 E Neville Ave Unit 1112, Mesa, AZ 85209-1511 2019-06-22
1639642861 Emily Barnes Lactation Consultant, Non-RN 285 N Kenneth Pl, Chandler, AZ 85226-2944 2019-01-10
1699269878 Sarah Grace Clay Lactation Consultant, Non-RN 8400 S Kyrene Rd Ste 125, Tempe, AZ 85284-2172 2018-06-20
1437670635 Kimberly Dawn Moore-salas Lactation Consultant, Non-RN 8400 S Kyrene Rd Ste 126, Tempe, AZ 85284-2172 2017-06-28
1043764582 Anna Elizabeth Neuman Singleton Lactation Consultant, Non-RN 3445 N King St, Flagstaff, AZ 86004-2027 2016-08-13
1013374230 Cynthia Lafferty Lactation Consultant, Non-RN 21120 E Stirrup St, Queen Creek, AZ 85142-6524 2016-01-19
1396101077 Trine Bradshaw Lactation Consultant, Non-RN 9709 E Impala Ave, Mesa, AZ 85209-7044 2016-01-11
1295191559 Asa Lader Lactation Consultant, Non-RN 3524 E Calle Del Prado, Tucson, AZ 85716-5021 2016-01-01
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Competitor

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City PHOENIX
Zip Code 85019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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