Individual provider · Type 1 NPI

Judd Tanner Broussard, CRNA

Certified Registered Nurse Anesthetist · Lafayette, LA

NPI number 1073612693 Active

Practice location

1103 Kaliste Saloom Rd, Suite 304
Lafayette, LA 70508-5783

Call (337) 988-5646 Map

Fax (337) 988-4298

Mailing address

1103 Kaliste Saloom Rd Ste 304
Lafayette, LA 70508-5784

Other practice locations

  • 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 · (337) 470-2574

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XAP04874 (LA)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1073612693

Judd Tanner Broussard, CRNA's National Provider Identifier is 1073612693, issued on Sep 21, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Lafayette, LA. The record was last updated on Jul 15, 2026.