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
Phone: (337) 470-5546
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 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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