Individual
ALEXANDRA BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13313 N. MERIDAN, SUITE A3, OKLAHOMA CITY, OK 73120
(405) 753-9600
(405) 753-9601
Mailing address
13313 N. MERIDAN, SUITE A3, OKLAHOMA CITY, OK 73120
(405) 753-9600
(405) 753-9601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
103887
OK
363LF0000X
Family Nurse Practitioner
Primary
103887
OK
Other
Enumeration date
09/18/2015
Last updated
12/28/2023
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