person
Cinderella Marie Broussard, RN
Psychiatric/Mental Health Nurse Practitioner in Lafayette, Louisiana
NPI 1801070859

Cinderella Marie Broussard is a Psychiatric/Mental Health Nurse Practitioner based in Carencro, LA and is specialized in Psychiatric/Mental Health. Cinderella Marie Broussard practices in Lafayette, LA and has the professional credentials of RN. The NPI Number for Cinderella Marie Broussard is 1801070859 and holds a License No. 093861 (Louisiana).

The current practice location address for Cinderella Marie Broussard is 208 W Gloria Switch Rd, Lafayette, LA and can be reached out via phone at 337-565-7026 and via fax at 855-832-5335. You can also correspond with Cinderella Marie Broussard through the mailing address at PO BOX 913, CARENCRO, LA - 70520-0913 (mailing address contact number: 337-565-7026).

Location: 208 W Gloria Switch Rd, Lafayette, LA, 70520-0913
person
Provider Profile Details
NPI Number
1801070859
Provider Name
Cinderella Marie Broussard
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
208 W Gloria Switch Rd, Lafayette, LA, 70520-0913
Phone Number
337-565-7026
Fax Number
855-832-5335
Provider Enumeration Date
12/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
208 W Gloria Switch Rd
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
City
State
Zip
70507-3409
Phone Number
337-565-7026
Fax Number
855-832-5335
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
09099 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
093861 (Louisiana)
Definition
Definition to come...
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