Individual
MS. ADRIENNE ELIZABETH BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(877) 795-9281
Mailing address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(877) 795-9281
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
333706
LA
Other
Enumeration date
10/04/2022
Last updated
03/13/2024
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