Brouillette, Charlene V

Brouillette, Charlene V is an individual health care provider with primary practice located at 5024 Toby Ln , Kenner LA 70065-3262. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Brouillette, Charlene V can be contacted via phone (504) 456-9958.

Contact Information

Primary practice address
5024 Toby Ln Kenner LA 70065-3262
Phone: (504) 456-9958
Fax: (504) 779-6769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP02363 Louisiana

Profile Details

NPI number 1033180997
LBN Legal business name Brouillette, Charlene V
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Sep 18th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033180997 NPPES
Louisiana MEDICAID 1905356

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