Healthcare Provider Details

I. General information

NPI: 1932377983
Provider Name (Legal Business Name): AMY ZAUNBRECHER JANIK CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2008
Last Update Date: 01/04/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 W CONGRESS ST
LAFAYETTE LA
70506-4205
US

IV. Provider business mailing address

416 DOUCET RD UNIT 1D
LAFAYETTE LA
70503-3468
US

V. Phone/Fax

Practice location:
  • Phone: 337-261-6027
  • Fax:
Mailing address:
  • Phone: 337-983-0580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP05379
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: