Mrs Joan T Broussard, ACNP | |
917 Coolidge Blvd, Lafayette, LA 70503-2433 | |
(337) 237-5774 | |
(337) 237-4939 |
Full Name | Mrs Joan T Broussard |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 917 Coolidge Blvd, Lafayette, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932258456 | NPI | - | NPPES |
1408361 | Medicaid | LA | |
AP05141 | Other | LA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN083622 (Louisiana) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | AP05141 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
Park Place Surgical Hospital | Lafayette, LA | Hospital |
Lafayette General Medical Center | Lafayette, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lourdes Physician Group Llc | 7214177757 | 112 |
Entity Name | Lourdes Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437405883 PECOS PAC ID: 7214177757 Enrollment ID: O20130705000541 |
Mailing Address | Practice Location Address |
---|---|
Mrs Joan T Broussard, ACNP 457 Heymann Blvd, Lafayette, LA 70503-2616 Ph: (337) 237-5774 | Mrs Joan T Broussard, ACNP 917 Coolidge Blvd, Lafayette, LA 70503-2433 Ph: (337) 237-5774 |
Lezette G. Vienne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Michael Stephen Robichaux, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Heymann Blvd Ste B, Lafayette, LA 70503 Phone: 337-289-8429 Fax: 337-289-8431 | |
Mrs. Brandi Rene Boutte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-769-0031 | |
Quartivia Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 General Gardner Ave, Lafayette, LA 70501 Phone: 337-232-9457 | |
Mrs. Jamila Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7991 | |
Erica Miller Piazza, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Settlers Trace Blvd Ste 100, Lafayette, LA 70508 Phone: 337-989-7272 | |
Marshall Quinn Coco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-988-1585 Fax: 337-988-1586 |