Individual
COURTNEY J BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4200 HOUMA BLVD, METAIRIE, LA 70006-2970
(504) 779-5515
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 242-1131
(517) 787-7379
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN108581
LA
Other
Enumeration date
11/17/2010
Last updated
09/30/2020
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