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Kendra Broussard, NNP
Critical Care Neonatal Nurse Practitioner in Salt Lake City, Utah
NPI 1346616604

Kendra Broussard is a Critical Care Neonatal Nurse Practitioner based in Atlanta, UT and is specialized in Neonatal, Critical Care. Kendra Broussard practices in Salt Lake City, UT and has the professional credentials of NNP. The NPI Number for Kendra Broussard is 1346616604 and holds a License No. RN198466 (Utah).

The current practice location address for Kendra Broussard is 50 N Medical Dr, Salt Lake City, UT and can be reached out via phone at 801-581-2113.

Location: 50 N Medical Dr, Salt Lake City, UT, 30374-2616
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Provider Profile Details
NPI Number
1346616604
Provider Name
Kendra Broussard
Credential
NNP
Provider Entity Type
Individual
Gender
Female
Address
50 N Medical Dr, Salt Lake City, UT, 30374-2616
Phone Number
801-581-2113
Fax Number
Provider Enumeration Date
08/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
50 N Medical Dr
City
State
Zip
84132-0001
Phone Number
801-581-2113
Fax Number
person
Provider Business Mailing Address Details
Address
50 N Medical Dr
City
State
Zip
84132-0001
Phone Number
801-581-2113
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
8834868-4405 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
RN198466 (Georgia)
Definition
Definition to come...
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