Individual
TIFFANY BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3218 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117-6659
(504) 689-9971
Mailing address
3218 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117-6659
(504) 352-7048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218957
LA
Other
Enumeration date
04/13/2021
Last updated
06/08/2021
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