Joanna N Broussard, is a
Student In An Organized Health Care Education/training Program based in Bellevue, Washington. Joanna N Broussard is licensed to practice in * (Not Available) (license number ) and her current practice location is
14216 Ne 21st St, Bellevue, Washington. She can be reached at her office (for appointments etc.) via phone at
(425) 653-4900.
NPI number for Joanna N Broussard is 1346856176 and her current mailing address is 6400 Southcenter Blvd, Tukwila, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346856176.
Healthcare Provider's Profile
| Full Name | Joanna N Broussard |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 14216 Ne 21st St, Bellevue, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1346856176
- Provider Enumeration Date: 09/17/2020
- Last Update Date: 09/17/2020
Medical Identifiers
Medical identifiers for Joanna N Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346856176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joanna N Broussard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Joanna N Broussard,
6400 Southcenter Blvd,
Tukwila, WA 98188-2547
Ph: (206) 901-2000 | Joanna N Broussard,
14216 Ne 21st St,
Bellevue, WA 98007-3720
Ph: (425) 653-4900 |
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