Gilbert, Shelly Broussard

Gilbert, Shelly Broussard is an individual health care provider with primary practice located at 1757 Imperial Blvd. , Lake Charles LA 70605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Gilbert, Shelly Broussard can be contacted via phone (337) 310-2832.

Contact Information

Primary practice address
1757 Imperial Blvd. Lake Charles LA 70605
Phone: (337) 310-2832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN071326 Louisiana

Profile Details

NPI number 1154469534
LBN Legal business name Gilbert, Shelly Broussard
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Aug 17th, 2010 - about 14 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 1154469534 NPPES
Louisiana Other 4B584 MEDICARE SERVICES PART B

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