Individual provider · Type 1 NPI
Susan Lee Broussard, APRN
Pediatric Nurse Practitioner · Lafayette, LA
NPI number
1740588003
Active
Practice location
345 Doucet Rd Ste 233
Lafayette, LA 70503-3490
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP06410 (LA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN107720-AP06410 (LA) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Lafayette
- Erin Gena Monachello, NURSE PRACTITIONERPediatric Nurse Practitioner Lafayette, LA NPI 1033505912
- Janci Bienvenu Detwiler, CPNP-PC/ACPediatric Nurse Practitioner Lafayette, LA NPI 1144673344
- Jamie Stephenson, CPNPPediatric Nurse Practitioner Lafayette, LA NPI 1255742656
- Tricia Ann Templet, DNPPediatric Nurse Practitioner Lafayette, LA NPI 1295195253
- Amy Arceneaux Vitte, NPPediatric Nurse Practitioner Lafayette, LA NPI 1306071162
- Alicia Faulk Nicklas, NPPediatric Nurse Practitioner Lafayette, LA NPI 1487188256
- Anthony Luczak, APRNPediatric Nurse Practitioner Lafayette, LA NPI 1548678055
- Sarah Heffernan, PNP-PCPediatric Nurse Practitioner Lafayette, LA NPI 1558163212
About NPI 1740588003
Susan Lee Broussard, APRN's National Provider Identifier is 1740588003, issued on Mar 9, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lafayette, LA. The record was last updated on Nov 18, 2024.