Broussard, Tracy P
Broussard, Tracy P is an individual health care provider with primary practice located at 155 Hospital Dr Ste 100, Lafayette LA 70503-2852. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Broussard, Tracy P can be contacted via phone (337) 354-0030.Contact Information
Primary practice address
155 Hospital Dr Ste 100
Lafayette LA 70503-2852
Phone: (337) 354-0030
Fax: (337) 354-0026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN087132 AP04548 | Louisiana |
Profile Details
| NPI number | 1619970308 |
|---|---|
| LBN Legal business name | Broussard, Tracy P |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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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