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General NPI Number Information
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NPI Number | 1891598587
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Entity Type | Organization
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Legal Business Name | BREATHE RIGHT PULMONARY
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Dates
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Enumeration Date | 03/29/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 2910 N LITCHFIELD RD. BUILDING 12, SUITE 102
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City | GOODYEAR
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State | AZ
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Zip | 85395
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Country | US
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Telephone | 480-584-4712
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Fax |
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Provider Business Mailing Address
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Address Line | 2910 N LITCHFIELD RD STE 102
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City | GOODYEAR
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State | AZ
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Zip | 85395-7800
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Country | US
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Telephone | 480-584-4712
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Fax | 833-973-6104
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Authorized Official
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Title or Position | OWNER
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Name | CHANDRA VIVIAN SORRELLE
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Credential | DNP
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Telephone | 480-584-4712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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