institution
Cinderella Broussard Llc
Psychiatric/Mental Health Nurse Practitioner in Lafayette, Louisiana
NPI 1295273837

Cinderella Broussard Llc is a Psychiatric/Mental Health Nurse Practitioner based in Carencro, LA and is specialized in Psychiatric/Mental Health. Cinderella Broussard Llc practices in Lafayette, LA. The NPI Number for Cinderella Broussard Llc is 1295273837 and holds a License No. AP09099 (Louisiana).

The current practice location address for Cinderella Broussard Llc is 208 W Gloria Switch Rd # 6, Lafayette, LA and can be reached out via phone at 337-565-7026 and via fax at 855-832-5335.

Location: 208 W Gloria Switch Rd # 6, Lafayette, LA, 70520-0913
institution
Provider Profile Details
NPI Number
1295273837
Provider Name
Cinderella Broussard Llc
Credential
Provider Entity Type
Organization
Address
208 W Gloria Switch Rd # 6, Lafayette, LA, 70520-0913
Phone Number
337-565-7026
Fax Number
855-832-5335
Provider Enumeration Date
02/02/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
208 W Gloria Switch Rd # 6
City
State
Zip
70507-3409
Phone Number
337-565-7026
Fax Number
855-832-5335
person
Provider Business Mailing Address Details
Address
208 W Gloria Switch Rd # 6
City
State
Zip
70507-3409
Phone Number
337-565-7026
Fax Number
855-832-5335
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP09099 (Louisiana)
Definition
Definition to come...
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