Individual
KENDRA BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
50 N MEDICAL DR, NICU, SALT LAKE CITY, UT 84132-0001
(801) 581-2113
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
RN198466
GA
363LN0005X
Critical Care Neonatal Nurse Practitioner
8834868-4405
UT
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN198466
GA
Other
Enumeration date
08/20/2015
Last updated
08/04/2022
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