MS. BRENDA A BROUSSARD RD CDE BC-ADM NPI 1962628156

NPI Information

NPI: 1962628156
Provider Name: MS. BRENDA A BROUSSARD, RD, CDE, BC-ADM
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
PRESBYTERIAN FAMILY PRACTICE MEDICAL GROUP
3901 ATRISCO
ALBUQUERQUE, NM
ZIP 87120
Phone: (505) 462-7575
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MS. Brenda A Broussard, RD, CDE, BC-ADM is a nutrition and metabolic dietitian registered in Albuquerque, NM. MS. Brenda A Broussard, RD, CDE, BC-ADM NPI is 1962628156. 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:

PRESBYTERIAN FAMILY PRACTICE MEDICAL GROUP
3901 ATRISCO
ALBUQUERQUE, NM
ZIP 87120
Phone: (505) 462-7575

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/8/2007.

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	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	036	NEW MEXICO	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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