MRS. MCKENZIE BETTE CORNILSEN CLC SBD NPI 1801653605

NPI Information

  • NPI: 1801653605
  • Provider Name: MRS. MCKENZIE BETTE CORNILSEN, CLC, SBD
  • Classification: Lactation Consultant, Non-RN - 174N00000X
  • Entity Type: Individual
  • Address: 2010 E 38TH ST STE 201B
    DAVENPORT, IA
    ZIP 52807
  • Phone: (184) 656-2200

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NPI Details

MRS. Mckenzie Bette Cornilsen, CLC, SBD is a lactation consultant non rn in Davenport, IA. The provider is an individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. MRS. Mckenzie Bette Cornilsen, CLC, SBD NPI is 1801653605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2010 E 38TH ST STE 201B
DAVENPORT, IA
ZIP 52807-179
Phone: (184) 656-2200

The enumeration date for this NPI number is 2/28/2024 and was last updated on 2/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1374J00000XDoulaIOWANo
2174N00000XLactation Consultant, Non-RNALPP-330760IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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