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Individual

AIMEE C BROUSSARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
805 ALBERTSON PKWY STE A, BROUSSARD, LA 70518-4350
(337) 330-4730
(337) 330-4732
Mailing address
P O BOX 1317, BROUSSARD, LA 70518-1317
(337) 330-4730
(337) 330-4732

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN094687-AP06057
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2100190
LA
Enumeration date
03/01/2010
Last updated
01/28/2016
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