Individual provider · Type 1 NPI
Cheryl Baker Broussard, APN
Family Nurse Practitioner · Las Vegas, NV
NPI number
1649581083
Active
Practice location
1800 W. Charleston Blvd.
Las Vegas, NV 89102
Fax (702) 383-3685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN001231 (NV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1649581083
Cheryl Baker Broussard, APN's National Provider Identifier is 1649581083, issued on Jun 30, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 22, 2022.