Individual provider · Type 1 NPI

Sandra Lee Brommeland Gonzalez, APRN-BC

Psychiatric/Mental Health Nurse Practitioner · Thibodaux, LA

NPI number 1053428342 Active

Practice location

1101 Audubon Ave
Thibodaux, LA 70301-4957

Fax (941) 295-7336

Mailing address

929 Bayou Dularge Rd
Houma, LA 70363-7614

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP 5139 (LA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1053428342

Sandra Lee Brommeland Gonzalez, APRN-BC's National Provider Identifier is 1053428342, issued on Aug 24, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Thibodaux, LA. The record was last updated on Jan 27, 2015.