Glenda Carol Brea Petroff in Abita Springs - Nurse Practitioner
Glenda Carol Brea Petroff - NPI 1609879659
Glenda Carol Brea Petroff is a Nurse Practitioner in Abita Springs, Louisiana. Glenda Carol Brea Petroff practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Glenda Carol Brea Petroff is 1609879659. The last update date is 2008-01-28.
Glenda Carol Brea Petroff's current location address is 22070 Highway 59, Abita Springs, Louisiana. You can contact this provider via phone number 9858920879 and fax number 9858752384. The mailing address for Glenda Carol Brea Petroff is 22070 Highway 59, Abita Springs, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenda Carol Brea Petroff |
|---|---|
| Address | 22070 Highway 59, Abita Springs, Louisiana |
| Phone Number | 9858920879 |
| Fax Number | 9858752384 |
| Sole Proprietor | Y |
| Credentials | FNPC |
NPI Number Detail
| NPI Number | 1609879659 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2008-01-28 |
Provider Mailing Address Detail
| Address | 22070 Highway 59 |
|---|---|
| City | Abita Springs |
| State | Louisiana (LA) |
| Post Code | 704200 |
| Phone Number | 9858920879 |
| Fax Number | 9858752384 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN099641AP03 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1128139 | LA | -- | |
| P00239061 | RR MEDICARE | ||
| 7931777 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Glenda Carol Brea Petroff by the Centers for Medicare & Medicaid Services (CMS)?
The Glenda Carol Brea Petroff has been assigned the NPI (National Provider Identifier) 1609879659. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Glenda Carol Brea Petroff is physically located?
The Glenda Carol Brea Petroff is physically situated at the following address: 22070 Highway 59, Abita Springs, LA, 704200.
What is Glenda Carol Brea Petroff's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Glenda Carol Brea Petroff is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609879659 to Glenda Carol Brea Petroff?
The Glenda Carol Brea Petroff received its 1609879659 assignment from the Centers for Medicare & Medicaid Services on 2005-05-23.
When was the information regarding Glenda Carol Brea Petroff, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Glenda Carol Brea Petroff, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-28.
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
Address: Po Box 440100, Nashville, TN
Address: 1153 E Main St, Lancaster, OH
Address: Po Box 2526, Fort Wayne, IN
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL
Address: 166 E Main St, Hendersonville, TN
Address: 53-59 Public Sq, Watertown, NY
Address: 500 N Hiatus Rd Ste 200, Pembroke Pines, FL
Address: 1517 Hearthstone Dr, Plano, TX
Address: 5800 Monroe St, Sylvania, OH
Address: 29 Beech Rd, Glen Rock, NJ
Address: 2815 Dustin Rd, Oregon, OH
Address: 409 Bayshore Blvd, Tampa, FL
Address: Po Box 331, Liberty Lake, WA