Individual provider · Type 1 NPI
Cinderella Marie Broussard, RN
Psychiatric/Mental Health Nurse Practitioner · Lafayette, LA
NPI number
1801070859
Active
Practice location
208 W Gloria Switch Rd
Lafayette, LA 70507-3409
Fax (855) 832-5335
Mailing address
PO Box 913
Carencro, LA 70520-0913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 093861 (LA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 09099 (LA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1801070859
Cinderella Marie Broussard, RN's National Provider Identifier is 1801070859, issued on Dec 27, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lafayette, LA. The record was last updated on Jan 11, 2020.