Provider Demographics
NPI:1740177831
Name:ZELLMER, CECILIA ROSE GALINATO (BSN, RN, IBCLC)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:ROSE GALINATO
Last Name:ZELLMER
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:ROSE
Other - Last Name:GALINATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:192 WALLACE DR
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1026
Mailing Address - Country:US
Mailing Address - Phone:858-229-2685
Mailing Address - Fax:
Practice Address - Street 1:192 WALLACE DR
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1026
Practice Address - Country:US
Practice Address - Phone:858-229-2685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAL-301222163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant