Individual
JULIE M BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
95 JUDGE TANNER BLVD, NICU, COVINGTON, LA 70433-7500
(985) 867-4361
Mailing address
95 JUDGE TANNER BLVD, NICU, COVINGTON, LA 70433-7500
(985) 867-4361
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP03064
LA
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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