Sandra Lee Brommeland Gonz in Houma - Psychiatric/mental Health

Sandra Lee Brommeland Gonz - NPI 1053428342

Sandra Lee Brommeland Gonz is a Psychiatric/mental Health in Houma, Louisiana. Sandra Lee Brommeland Gonz practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Sandra Lee Brommeland Gonz is 1053428342. The last update date is 2015-01-27.

Sandra Lee Brommeland Gonz's current location address is 929 Bayou Dularge Rd, Houma, Louisiana. You can contact this provider via phone number 9858723550 and fax number 9412957336. The mailing address for Sandra Lee Brommeland Gonz is 929 Bayou Dularge Rd, Houma, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra Lee Brommeland Gonz
Address 929 Bayou Dularge Rd, Houma, Louisiana
Phone Number 9858723550
Fax Number 9412957336
Sole Proprietor N
Credentials APRN-BC

NPI Number Detail

NPI Number 1053428342
Provider Enumeration Date 2006-08-24
Last Updated Date 2015-01-27

Provider Mailing Address Detail

Address 929 Bayou Dularge Rd
City Houma
State Louisiana (LA)
Post Code 703637614
Phone Number 9858723550
Fax Number 9412957336

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No AP 5139
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1022004 LA --

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FAQs about Sandra Lee Brommeland Gonz

What is the unique identifier code issued to Sandra Lee Brommeland Gonz by the Centers for Medicare & Medicaid Services (CMS)?

The Sandra Lee Brommeland Gonz has been assigned the NPI (National Provider Identifier) 1053428342. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Sandra Lee Brommeland Gonz is located?

The Sandra Lee Brommeland Gonz is situated at the following address: 929 Bayou Dularge Rd, Houma, LA, 703637614.

What is Sandra Lee Brommeland Gonz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Sandra Lee Brommeland Gonz is Psychiatric/mental Health, and the taxonomy code that classifies this field of practice is 363Lp0808X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053428342 to Sandra Lee Brommeland Gonz?

The Centers for Medicare & Medicaid Services originally issued the 1053428342 to Sandra Lee Brommeland Gonz on 2006-08-24.

When was the information regarding Sandra Lee Brommeland Gonz, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Sandra Lee Brommeland Gonz, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-01-27.

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