Individual
KRISTY SMITH BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 374-4325
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
06091
LA
Other
Enumeration date
06/20/2019
Last updated
07/29/2021
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