# BRENDA S BROUSSARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982886180
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | AP01118 | LA | Yes |
| 367A00000X | Advanced Practice Midwife | R860596 | MS | — |
| 367A00000X | Advanced Practice Midwife | RN091369 | LA | — |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 03/17/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04970861 | — | MS |
| 05 | — | 2125176 | — | LA |