Shelley Broussard, RN,BSN,IBCLC - Registered Nurse in Lafayette, LA

Shelley Broussard, RN,BSN,IBCLC is a Registered Nurse - Lactation Consultant based in Lafayette, Louisiana. Shelley Broussard is licensed to practice in Louisiana (license number 48443) and her current practice location is 4630 Ambassador Caffery Pkwy Ste 204, Lafayette, Louisiana. She can be reached at her office (for appointments etc.) via phone at (337) 470-5546.

NPI number for Shelley Broussard is 1124601026 and her current mailing address is 4704 Ambassador Caffery Pkwy Fl Pakway2, Lafayette, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124601026.

Contact Information

Shelley Broussard, RN,BSN,IBCLC
4630 Ambassador Caffery Pkwy Ste 204,
Lafayette, LA 70508-6949
(337) 470-5546
Not Available

Map and Direction




Provider's Profile

Full NameShelley Broussard
GenderFemale
SpecialityRegistered Nurse - Lactation Consultant
Location4630 Ambassador Caffery Pkwy Ste 204, Lafayette, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124601026
  • Provider Enumeration Date: 04/29/2021
  • Last Update Date: 04/29/2021

Medical Identifiers

Medical identifiers for Shelley Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124601026NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WL0100XRegistered Nurse - Lactation Consultant 48443 (Louisiana)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. Shelley 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 AddressPractice Location Address
Shelley Broussard, RN,BSN,IBCLC
4704 Ambassador Caffery Pkwy Fl Pakway2,
Lafayette, LA 70508-6908

Ph: (337) 470-5594
Shelley Broussard, RN,BSN,IBCLC
4630 Ambassador Caffery Pkwy Ste 204,
Lafayette, LA 70508-6949

Ph: (337) 470-5546

Reviews and Comments


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