Individual
CRYSTAL BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
203 ENERGY PKWY, LAFAYETTE, LA 70508-3815
(337) 266-8483
(337) 266-8463
Mailing address
4401 S CLAIBORNE AVE, NEW ORLEANS, LA 70125-5105
(504) 891-7737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09216
LA
Other
Enumeration date
02/20/2017
Last updated
11/16/2021
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