Individual
JUDY BROUSSARD TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4212 W CONGRESS ST, SUITE 3600, LAFAYETTE, LA 70506-6765
(337) 988-2004
(337) 981-5012
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(257) 655-7272
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN088774 APO5432
LA
Other
Enumeration date
05/13/2008
Last updated
05/10/2021
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