Brenda A Broussard in Albuquerque - Nutrition, Metabolic
Brenda A Broussard - NPI 1962628156
Brenda A Broussard is a Nutrition, Metabolic in Albuquerque, New Mexico. Brenda A Broussard practices all healthcare services and medical treatments related to Nutrition, Metabolic. The NPI Number for Brenda A Broussard is 1962628156. The last update date is 2007-07-08.
Brenda A Broussard's current location address is 18 Berm St Nw, Albuquerque, New Mexico. You can contact this provider via phone number 5057920065 and fax number 5057920488. The mailing address for Brenda A Broussard is 18 Berm St Nw, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda A Broussard |
|---|---|
| Address | 18 Berm St Nw, Albuquerque, New Mexico |
| Phone Number | 5057920065 |
| Fax Number | 5057920488 |
| Sole Proprietor | Y |
| Credentials | RD, CDE, B |
NPI Number Detail
| NPI Number | 1962628156 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 18 Berm St Nw |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871201822 |
| Phone Number | 5057920065 |
| Fax Number | 5057920488 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Metabolic |
|---|---|
| Taxonomy | 133Vn1006X |
| Licence No | 36 |
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Definition: A dietitian who specializes in metabolic and nutritional disorders. |
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Post Comment/ Review Below
What is the unique identifier code issued to Brenda A Broussard by the Centers for Medicare & Medicaid Services (CMS)?
The Brenda A Broussard has been assigned the NPI (National Provider Identifier) 1962628156. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Brenda A Broussard's facilities are geographically located?
The facilities of Brenda A Broussard are physically situated at the following location: 18 Berm St Nw, Albuquerque, NM, 871201822.
What is Brenda A Broussard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brenda A Broussard's specialized field of practice is Nutrition, Metabolic, and the corresponding taxonomy code that categorizes this area of specialization is 133Vn1006X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962628156 to Brenda A Broussard?
The Centers for Medicare & Medicaid Services assigned the 1962628156 to Brenda A Broussard on 2007-04-17.
As of what date were the details pertaining to Brenda A Broussard last refreshed?
The information related to the Brenda A Broussard, including its address, specialty, and other relevant details, was last updated on 2007-07-08.