Individual
MRS. CAMMIE MIRIA BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
155 ODD FELLOWS RD, CROWLEY, LA 70526-2204
(337) 514-5200
Mailing address
105 LANDSDOWNE WAY, CARENCRO, LA 70520-6251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09325
LA
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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