Glenda Carol Breakfell Petroff, FNPC
Family Nurse Practitioner in Abita Springs, Louisiana
NPI 1609879659

Glenda Carol Breakfell Petroff is a Family Nurse Practitioner based in New Orleans, LA and is specialized in Family. Glenda Carol Breakfell Petroff practices in Abita Springs, LA and has the professional credentials of FNPC. The NPI Number for Glenda Carol Breakfell Petroff is 1609879659 and holds a License No. RN099641 (Louisiana).

The current practice location address for Glenda Carol Breakfell Petroff is 22070 Highway 59, Abita Springs, LA and can be reached out via phone at 985-892-0879 and via fax at985-875-2384. You can also correspond with Glenda Carol Breakfell Petroff through the mailing address at 1514 JEFFERSON HWY, NEW ORLEANS, LA - 70121 (mailing address contact number: 504-842-4000).

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Provider Profile Details
NPI Number
1609879659
Provider Name
Glenda Carol Breakfell Petroff
Credential
FNPC
Provider Entity Type
Individual
Gender
Female
Address
22070 Highway 59, Abita Springs, LA, 70121
Phone Number
985-892-0879
Fax Number
985-875-2384
Provider Enumeration Date
05/23/2005
Last Update Date
01/28/2008
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Provider's Legacy Identifiers
Identifier Type State Issuer
07931777 05 MS
1128139 05 LA
P00239061 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
22070 Highway 59
City
Abita Springs
State
Louisiana
Zip
70420
Phone Number
985-892-0879
Fax Number
985-875-2384
person
Provider Business Mailing Address Details
Address
1514 Jefferson Hwy
City
New Orleans
State
Louisiana
Zip
70121
Phone Number
504-842-4000
Fax Number
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Provider's Primary Taxonomy Details
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN099641 (Louisiana)
Definition
Definition to come...