Individual provider · Type 1 NPI
Desiree Brouillette, CFM03594
Mastectomy Fitter · Alexandria, LA
NPI number
1962346262
Active
Practice location
78A Versailles Blvd
Alexandria, LA 71303-3960
Fax (318) 619-1101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | CFM03594 (LA) |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Another provider at this address
About NPI 1962346262
Desiree Brouillette, CFM03594's National Provider Identifier is 1962346262, issued on Apr 16, 2026. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Alexandria, LA. The record was last updated on Apr 16, 2026.