Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NICHOLAS PAUL BROUSSARD, CRNA
Active Sole ProprietorMR. NICHOLAS PAUL BROUSSARD, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MAURICE, Louisiana. NPI 1578755104 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · MAURICE, LA
Registration Details
- NPI Number
- 1578755104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2007 (19.030141090388 yrs)
- Last Updated
- Oct 9, 2015
- Licenses
-
RN108764 (LA)AP05366 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5113 LA PREMIERE DRMAURICE, LA, 705553764Browse LA providers · Browse ZIP 70555
- Phone
- 3372780037
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
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.