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

Autumn Rose Wahl, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1518821586

Autumn Rose Wahl, IBCLC is a Lactation Consultant (Non-RN) in Provo, Utah. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

260 E 200 N
Provo, UT 84606-3180
Phone: (801) 786-9613
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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

Record details

NPI number1518821586
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorNo
NPI enumeratedDecember 12, 2025
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

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