Individual provider · Type 1 NPI

Stephanie L. Broussard, NNP

Neonatal Nurse Practitioner · Houston, TX

NPI number 1851597504 Active

Practice location

6410 Fannin St, 500
Houston, TX 77030-3000

Call (832) 325-7111 Map

Fax (713) 512-2227

Mailing address

6431 Fannin St Ste 3.242
Houston, TX 77030-1501

Specialties and licenses

Taxonomy	Code	License
Neonatal Nurse Practitioner Primary	363LN0000X	670437 (TX)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1851597504

Stephanie L. Broussard, NNP's National Provider Identifier is 1851597504, issued on Jun 21, 2007. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Houston, TX. The record was last updated on Feb 10, 2022.