Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy S Peterson, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1699017764

Amy S Peterson, IBCLC is a Lactation Consultant (Non-RN) in Jerome, Idaho. Licensed in Virginia. Registered with an NPI since 2013.

Licensed in
VA
In the registry since
2013
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Practice location Address checks out

805 4th Ave Dr
Jerome, ID 83338-2104
Phone: (208) 308-1350
Fax: (208) 324-9628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X · Licence 101-17560 (VA)

Record details

NPI number1699017764
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorNo
NPI enumeratedMarch 26, 2013
Last updated in NPPESMarch 26, 2013