person
Stephanie L Broussard, NNP
Neonatal Nurse Practitioner in Houston, Texas
NPI 1851597504

Stephanie L Broussard is a Neonatal Nurse Practitioner based in Houston, TX and is specialized in Neonatal. Stephanie L Broussard practices in Houston, TX and has the professional credentials of NNP. The NPI Number for Stephanie L Broussard is 1851597504 and holds a License No. 670437 (Texas).

The current practice location address for Stephanie L Broussard is 6410 Fannin St, Houston, TX and can be reached out via phone at 832-325-7111 and via fax at 713-512-2227.

Location: 6410 Fannin St, Houston, TX, 77030-1501
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Provider Profile Details
NPI Number
1851597504
Provider Name
Stephanie L Broussard
Credential
NNP
Provider Entity Type
Individual
Gender
Female
Address
6410 Fannin St, Houston, TX, 77030-1501
Phone Number
832-325-7111
Fax Number
713-512-2227
Provider Enumeration Date
06/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8Y3004 01 TX BCBS
189514601 05 TX
189514602 01 TX CSHCN
institution
Provider Business Practice Location Address Details
Address
6410 Fannin St
City
State
Zip
77030-3000
Phone Number
832-325-7111
Fax Number
713-512-2227
person
Provider Business Mailing Address Details
Address
6410 Fannin St
City
State
Zip
77030-3000
Phone Number
832-325-7111
Fax Number
713-512-2227
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
670437 (Texas)
Definition
Definition to come...
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