Broussard, Shelley

Broussard, Shelley is an sole proprietor health care provider with primary practice located at 4630 Ambassador Caffery Pkwy Ste 204 , Lafayette LA 70508-6949. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Broussard, Shelley can be contacted via phone (337) 470-5546.

Contact Information

Primary practice address
4630 Ambassador Caffery Pkwy Ste 204 Lafayette LA 70508-6949
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X 48443 Louisiana

Profile Details

NPI number 1124601026
LBN Legal business name Broussard, Shelley
Credentials RN,BSN,IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2021
Last updated Apr 29th, 2021 - about 3 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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