CINDERELLA BROUSSARD LLC NPI 1295273837

NPI Information

  • NPI: 1295273837
  • Provider Name: CINDERELLA BROUSSARD LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 208 W GLORIA SWITCH RD # 6
    LAFAYETTE, LA
    ZIP 70507
  • Phone: (337) 565-7026

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NPI Details

CINDERELLA BROUSSARD LLC is a psychiatric/mental health nurse practitioner in Lafayette, LA. CINDERELLA BROUSSARD LLC NPI is 1295273837. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

208 W GLORIA SWITCH RD # 6
LAFAYETTE, LA
ZIP 70507-409
Phone: (337) 565-7026
Fax: (855) 832-5335

The provider's authorized official is Cinderella Marie Broussard .
The authorized official title is Owner and has the following contact phone number (337) 886-3151.

The enumeration date for this NPI number is 2/2/2017 and was last updated on 1/11/2020.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAP09099LOUISIANAYes

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: 3/30/2025

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