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 |
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Address | 2669 Scenic Dr, Alamogordo, New Mexico |
Phone Number | 3373653168 |
Fax Number | 3373693536 |
Sole Proprietor | N |
Credentials | CRNA |
NPI Number Detail
NPI Number | 1609962612 |
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Provider Enumeration Date | 2006-10-05 |
Last Updated Date | 2017-10-24 |
Provider Mailing Address Detail
Address | 2669 Scenic Dr |
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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 |
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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 |
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1696609 | LA | -- |
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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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