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

Nanette Petersen, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1477288207

Nanette Petersen, IBCLC is a Lactation Consultant (Non-RN) in Statesville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

716 Phillips Ln
Statesville, NC 28625-4594
Phone: (704) 677-8004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X · Licence L23003 (NC)

Record details

NPI number1477288207
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorYes
NPI enumeratedJuly 16, 2022
Last updated in NPPESJuly 16, 2022
Certification dateJuly 16, 2022