Provider Demographics
NPI:1285119099
Name:A RENEWED APPROACH HEALTHCARE
Entity type:Organization
Organization Name:A RENEWED APPROACH HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHANTELL
Authorized Official - Middle Name:DARBY
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-326-1140
Mailing Address - Street 1:PO BOX 1234
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70459-1234
Mailing Address - Country:US
Mailing Address - Phone:985-326-1140
Mailing Address - Fax:985-214-9540
Practice Address - Street 1:330 OAK HARBOR BLVD STE D
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-5703
Practice Address - Country:US
Practice Address - Phone:985-326-1140
Practice Address - Fax:985-214-9540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty