KENDRA BROUSSARD

SALT LAKE CITY, UT
NPI1346616604
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: GA  RN198466)
Additional Taxonomies363LN0000X Nurse Practitioner, Neonatal
(Licence: GA  RN198466)
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: UT  8834868-4405)
Enumeration Date2015-08-20
Last Update Date2022-08-04
Business Address
KENDRA BROUSSARD NNP
50 N MEDICAL DR NICU
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2113
Mailing Address
KENDRA BROUSSARD NNP
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: