Annika Lenore Dougherty Imelli, RD, IBCLC
Annika Lenore Dougherty Imelli, RD, IBCLC is a Lactation Consultant (Non-RN) in Polaris, Montana. Practices as a sole proprietor. Licensed in Montana.
- Licensed in
- MT
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- RD — Registered Dietitian
- A credentialed nutrition professional.
Practice location Address checks out
141 Aspen View RdPolaris, MT 59746
Phone: (415) 606-9558
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence MED-NUT-LIC-125402 (MT) |
|---|---|
| Lactation Consultant (Non-RN) | Taxonomy 174N00000X · Licence L-21954 |
Record details
| NPI number | 1194411447 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RD , IBCLC |
| Sole proprietor | Yes |
| NPI enumerated | April 11, 2023 |
| Last updated in NPPES | January 3, 2025 |
| Certification date | January 3, 2025 |
| Mailing address | Po Box 460458, Polaris, MT 59746-0458 |