Provider Demographics
NPI:1922397637
Name:TREMBLAY, JOANNE GLORIA (RN)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:GLORIA
Last Name:TREMBLAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2D MEDICAL GROUP, BLDG 4548
Mailing Address - Street 2:243 CURTISS RD
Mailing Address - City:BARKSDALE
Mailing Address - State:LA
Mailing Address - Zip Code:71110
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2D MEDICAL GROUP, BLDG 4548
Practice Address - Street 2:243 CURTISS RD
Practice Address - City:BARKSDALE
Practice Address - State:LA
Practice Address - Zip Code:71110
Practice Address - Country:US
Practice Address - Phone:207-514-5811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOA1432225X00000X
MERN58699163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME260800099Medicaid