Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN GEORGE BROUILLETTE
Active Sole ProprietorETHAN GEORGE BROUILLETTE is a Physician Assistant healthcare provider located in NASHVILLE, Tennessee. NPI 1245956580 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NASHVILLE, TN
Registration Details
- NPI Number
- 1245956580
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2022 (3.8180354161279 yrs)
- Last Updated
- Mar 14, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
3110 WINDEMERE CIRNASHVILLE, TN, 372141616Browse TN providers · Browse ZIP 37214
- Phone
- 2624839269
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in NASHVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| AARON M MOREDOCK | PAC | 1063416436 |
| GINA MARIE BARLETTA | M.S., P.A.-C. | 1245238476 |
| THEODORE B. WADE | PA-C | 1548260847 |
| KEITH J. PURINO | PA-C | 1851392419 |
| MELISSA C LEHMANN | PA | 1609860634 |
| TRAVIS KYLE LAYNE | PAC | 1902894389 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.