Individual
MEGAN ASHLEY BROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
25410 CALDERA DR, ATHENS, AL 35613-8350
(630) 636-8547
Mailing address
25410 CALDERA DR, ATHENS, AL 35613-8350
(630) 636-8547
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
041371455
IL
163WE0003X
Emergency Registered Nurse
889452
TX
363L00000X
Nurse Practitioner
Primary
AP130605
TX
363LF0000X
Family Nurse Practitioner
AP130605
TX
Other
Enumeration date
10/30/2015
Last updated
03/13/2026
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