Michelle Katrice Girouard, RN
Registered Nurse, Critical Care Medicine in Joint Base Lewis McChord, WA. Individual provider (NPI-1).
NPI number1083178941
StatusActive
Last updated in NPPESJan 24, 2019
Details
- NPI
- 1083178941
- Entity type
- Individual (NPI-1)
- Name
- Michelle Katrice Girouard
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2019
- Last updated
- Jan 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0200X | Registered Nurse, Critical Care Medicine | RN133855 | LA | Yes |
Other names
- Michelle Katrice Broussard (Former Name)
Practice location
9040 A Jackson AveJoint Base Lewis McChord, WA 98431-0001
Phone 253-968-1110
Mailing address
2414 Camella StAbbeville, LA 70510-4013
Phone 337-349-5792
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