| Nina Claire Broussard, NP | |
|
1990 Industrial Blvd, Houma, LA 70363-7055 | |
| (985) 868-9300 | |
| (985) 851-0053 |
| Full Name | Nina Claire Broussard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 1990 Industrial Blvd, Houma, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104312560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP10088 (Louisiana) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | AP10088 (Louisiana) | Primary |
| Entity Name | South Louisiana Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942301379 PECOS PAC ID: 8527968650 Enrollment ID: O20040113000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Nina Claire Broussard, NP 1990 Industrial Blvd, Houma, LA 70363-7055 Ph: (985) 868-9300 | Nina Claire Broussard, NP 1990 Industrial Blvd, Houma, LA 70363-7055 Ph: (985) 868-9300 |
Christy L Hebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8120 Main St Ste 301, Houma, LA 70360 Phone: 985-851-6653 Fax: 985-872-1420 | |
Mr. Philip Andrew Lottinger Jr., PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 985-851-0162 | |
Caroline Hebert, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1297 Saint Charles St Ste H, Houma, LA 70360 Phone: 985-665-1020 | |
Deeanna Bennett Beaver, APRN, NP. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 165 Corporate Drive, Houma, LA 70360 Phone: 985-851-1001 Fax: 985-851-1017 | |
Laina Leboeuf, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 Aubrey Drive, Houma, LA 70360 Phone: 985-868-7786 Fax: 985-868-7786 | |
Shawn M Keller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 225-333-2020 | |
Virginia M Pellegrin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 509 Dunn St, Houma, LA 70360 Phone: 985-876-1714 Fax: 985-868-6549 |