Individual provider · Type 1 NPI

Shelley Broussard, RN, BSN, IBCLC

Lactation Consultant (Registered Nurse) · Lafayette, LA

NPI number 1124601026 Active

Practice location

4630 Ambassador Caffery Pkwy Ste 204
Lafayette, LA 70508-6949

Mailing address

4704 Ambassador Caffery Pkwy Fl PAKWAY2
Lafayette, LA 70508-6908

Other practice locations

  • 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 · (337) 470-5500

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) Primary 163WL0100X48443 (LA)

Lactation Consultant (Registered Nurse): Definition to come...

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About NPI 1124601026

Shelley Broussard, RN, BSN, IBCLC's National Provider Identifier is 1124601026, issued on Apr 29, 2021. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Lafayette, LA. The record was last updated on Apr 29, 2021.