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Individual
MS. HOLLI JEAN BROUSSEAU
Active
Individual
MS. HOLLI JEAN BROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
37937
RI
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN01223
RI
Other
Enumeration date
11/13/2014
Last updated
11/12/2021
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