Individual provider · Type 1 NPI
Emma Marie Broussard, NP
Gerontology Nurse Practitioner · Killeen, TX
NPI number
1306419015
Active
Practice location
2201 Clear Creek Rd
Killeen, TX 76549-4110
Mailing address
3901A Spicewood Springs Rd Ste 201
Austin, TX 78759-8728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1047924 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1306419015
Emma Marie Broussard, NP's National Provider Identifier is 1306419015, issued on Jul 20, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Killeen, TX. The record was last updated on Jul 20, 2021.