Martha A Broussard in Baton Rouge - Nurse Anesthetist, Certified Registered

Martha A Broussard - NPI 1083685762

Martha A Broussard is a Nurse Anesthetist, Certified Registered in Baton Rouge, Louisiana. Martha A Broussard practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Martha A Broussard is 1083685762. The last update date is 2007-07-09.

Martha A Broussard's current location address is 4950 Essen Ln, Baton Rouge, Louisiana. You can contact this provider via phone number 2252146688 and fax number 2252146687. The mailing address for Martha A Broussard is 4950 Essen Ln, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Martha A Broussard
Address 4950 Essen Ln, Baton Rouge, Louisiana
Phone Number 2252146688
Fax Number 2252146687
Sole Proprietor X
Credentials CRNA

NPI Number Detail

NPI Number 1083685762
Provider Enumeration Date 2006-01-30
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 4950 Essen Ln
City Baton Rouge
State Louisiana (LA)
Post Code 708093432
Phone Number 2252146688
Fax Number 2252146687

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No AP01010
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1993913 LA --

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FAQs about Martha A Broussard

What is the unique identifier code issued to Martha A Broussard by the Centers for Medicare & Medicaid Services (CMS)?

The Martha A Broussard has been assigned the NPI (National Provider Identifier) 1083685762. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Martha A Broussard's facilities are situated?

The facilities of Martha A Broussard are physically located at the following address: 4950 Essen Ln, Baton Rouge, LA, 708093432.

What is Martha A Broussard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Martha A Broussard's specialized field of practice is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of specialization is 367500000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1083685762 to Martha A Broussard?

The Centers for Medicare & Medicaid Services assigned the 1083685762 to Martha A Broussard on 2006-01-30.

As of what date was the information pertaining to Martha A Broussard, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Martha A Broussard, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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