DUSTIN COLE BROUSSARD

MONROE, LA
NPI1407151913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP06688)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  RN9306451)
Enumeration Date2011-01-13
Last Update Date2017-10-25
Business Address
DUSTIN COLE BROUSSARD CRNA
312 GRAMMONT ST STE 100
MONROE, LA 71201-7457
Phone number: 318-998-6129
Mailing Address
DUSTIN COLE BROUSSARD CRNA
PO BOX 3185
MONROE, LA 71210-3185
Phone number: 318-998-6129