Healthcare Provider Details

I. General information

NPI: 1891598587
Provider Name (Legal Business Name): BREATHE RIGHT PULMONARY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 N LITCHFIELD RD. BUILDING 12, SUITE 102
GOODYEAR AZ
85395
US

IV. Provider business mailing address

2910 N LITCHFIELD RD STE 102
GOODYEAR AZ
85395-7800
US

V. Phone/Fax

Practice location:
  • Phone: 480-584-4712
  • Fax:
Mailing address:
  • Phone: 480-584-4712
  • Fax: 833-973-6104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHANDRA VIVIAN SORRELLE
Title or Position: OWNER
Credential: DNP
Phone: 480-584-4712