Broussard, Joan T.

Broussard, Joan T. is an individual health care provider with primary practice located at 917 Coolidge Blvd , Lafayette LA 70503-2433. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Broussard, Joan T. can be contacted via phone (337) 237-5774.

Contact Information

Primary practice address
917 Coolidge Blvd Lafayette LA 70503-2433
Phone: (337) 237-5774
Fax: (337) 237-4939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN083622 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP05141 Louisiana

Profile Details

NPI number 1932258456
LBN Legal business name Broussard, Joan T.
Credentials A.C.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Aug 24th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932258456 NPPES
Louisiana MEDICAID 1408361
Louisiana Other AP05141

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