SHELLEY BROUSSARD RNBSNIBCLC NPI 1124601026

NPI Information

NPI: 1124601026
Provider Name: SHELLEY BROUSSARD, RN,BSN,IBCLC
Classification: Registered Nurse - 163WL0100X
Entity Type: Individual

Specialization: Lactation Consultant

Address:
4630 AMBASSADOR CAFFERY PKWY STE 204
LAFAYETTE, LA
ZIP 70508
Phone: (337) 470-5546
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Shelley Broussard, RN,BSN,IBCLC is a lactation consultant registered nurse in Lafayette, LA. Shelley Broussard, RN,BSN,IBCLC NPI is 1124601026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4630 AMBASSADOR CAFFERY PKWY STE 204
LAFAYETTE, LA
ZIP 70508-949
Phone: (337) 470-5546

The enumeration date for this NPI number is 4/29/2021 and was last updated on 4/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WL0100X	Registered Nurse	Lactation Consultant	48443	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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