Individual
ASHLEY ELIZABETH BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11425 EL CAMINO REAL, SAN DIEGO, CA 92130-2045
(858) 794-6363
(858) 794-6363
Mailing address
6364 50TH ST, SAN DIEGO, CA 92120-2730
(337) 241-3011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95029788
CA
Other
Enumeration date
06/26/2024
Last updated
05/14/2026
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