Provider Demographics
NPI:1689876914
Name:PERLOW-SCHMIDT, HOLLIE ELAINE (RN, IBCLC)
Entity Type:Individual
Prefix:MR
First Name:HOLLIE
Middle Name:ELAINE
Last Name:PERLOW-SCHMIDT
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17752 W ACAPULCO LN
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85388-8730
Mailing Address - Country:US
Mailing Address - Phone:623-824-1095
Mailing Address - Fax:
Practice Address - Street 1:17752 W ACAPULCO LN
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-8730
Practice Address - Country:US
Practice Address - Phone:623-824-1095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN078413163W00000X, 163WL0100X, 163WX1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Not Answered163WX1100XNursing Service ProvidersRegistered NurseOphthalmic