Broussard, Cinderella Marie

Broussard, Cinderella Marie is an individual health care provider with primary practice located at 208 W Gloria Switch Rd , Lafayette LA 70507-3409. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Broussard, Cinderella Marie can be contacted via phone (337) 565-7026.

Contact Information

Primary practice address
208 W Gloria Switch Rd Lafayette LA 70507-3409
Phone: (337) 565-7026
Fax: (855) 832-5335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 093861 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 09099 Louisiana

Profile Details

NPI number 1801070859
LBN Legal business name Broussard, Cinderella Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2007
Last updated Jan 11th, 2020 - about 4 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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