Provider Demographics
NPI:1891598587
Name:BREATHE RIGHT PULMONARY, LLC
Entity type:Organization
Organization Name:BREATHE RIGHT PULMONARY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP
Authorized Official - Prefix:DR
Authorized Official - First Name:CHANDRA VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SORRELLE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:701-541-2144
Mailing Address - Street 1:15105 W ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-2512
Mailing Address - Country:US
Mailing Address - Phone:701-541-2144
Mailing Address - Fax:
Practice Address - Street 1:2910 N LITCHFIELD RD BLDG 12
Practice Address - Street 2:15105 W ROOSEVELT ST
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-8533
Practice Address - Country:US
Practice Address - Phone:701-541-2144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty