BRENDA S BROUSSARD

BATON ROUGE, LA
NPI1982886180
Former NameBRENDA K. SHANTZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: LA  AP01118)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: MS  R860596)
367A00000X Advanced Practice Midwife
(Licence: LA  RN091369)
Enumeration Date2007-11-29
Last Update Date2011-03-17
Business Address
-- BRENDA S BROUSSARD CNM
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816-3254
Phone number: 225-754-3278
Mailing Address
-- BRENDA S BROUSSARD CNM
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816-3254
Phone number: 225-754-3278