Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENDA CAROL BREAKFELL PETROFF, FNPC
Deactivated Sole ProprietorGLENDA CAROL BREAKFELL PETROFF, FNPC is a Nurse Practitioner healthcare provider located in ABITA SPRINGS, Louisiana. NPI 1609879659 is deactivated in the NPPES registry. Verify at CMS.
Nurse Practitioner · ABITA SPRINGS, LA
This NPI has been deactivated.
The record was deactivated on May 23, 2005.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1609879659
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2005
- Last Updated
- Jan 28, 2008
- Deactivated
- May 23, 2005
- Licenses
-
RN099641 (LA)RN099641AP03834 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22070 HIGHWAY 59ABITA SPRINGS, LA, 70420Browse LA providers · Browse ZIP 70420
- Phone
- 9858920879
- Fax
- 9858752384
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.