Paul W Broussard in Alamogordo - Nurse Anesthetist, Certified Registered

Paul W Broussard - NPI 1609962612

Paul W Broussard is a Nurse Anesthetist, Certified Registered in Alamogordo, New Mexico. Paul W Broussard practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Paul W Broussard is 1609962612. The last update date is 2017-10-24.

Paul W Broussard's current location address is 2669 Scenic Dr, Alamogordo, New Mexico. You can contact this provider via phone number 3373653168 and fax number 3373693536. The mailing address for Paul W Broussard is 2669 Scenic Dr, Alamogordo, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul W Broussard
Address 2669 Scenic Dr, Alamogordo, New Mexico
Phone Number 3373653168
Fax Number 3373693536
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1609962612
Provider Enumeration Date 2006-10-05
Last Updated Date 2017-10-24

Provider Mailing Address Detail

Address 2669 Scenic Dr
City Alamogordo
State New Mexico (NM)
Post Code 883108700
Phone Number 3373653168
Fax Number 3373693536

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 37524
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
1696609 LA --

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FAQs about Paul W Broussard

What is the unique 10-digit identifier code assigned to Paul W Broussard by the Centers for Medicare & Medicaid Services?

The Paul W Broussard has been issued the NPI (National Provider Identifier) 1609962612 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

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

The facilities of Paul W Broussard are physically located at the following address: 2669 Scenic Dr, Alamogordo, NM, 883108700.

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

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

When did Paul W Broussard receive its 1609962612 assignment?

The Paul W Broussard was assigned its 1609962612 on 2006-10-05, which is the date when this unique identifier was issued to the organization.

When was the information regarding Paul W Broussard most recently updated?

The details pertaining to the Paul W Broussard, including its address, specialty, and other relevant information, were last refreshed on 2017-10-24.

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