Organization Name: | SALUBRIOUS HEALTHCARE SERVICES, LLC |
NPI Number: | 1063792455 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GRETCHEN J ZAUNBRECHER (PROVIDER) |
Mailing Address: | 717 Curtis Dr Rayne |
State: | LA US |
Postal Code: | 705788311 |
Phone Number: | 3373841334 |
Fax Number: | 3373347556 |
NPI Enumeration Date: | 08/17/2011 |
NPI Last Update Date: | 08/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP03174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |