Michael James Broussard
Adult Companion in Scottsbluff, NE. Individual provider (NPI-1).
NPI number1104767409
StatusActive
Last updated in NPPESApr 2, 2026
Details
- NPI
- 1104767409
- Entity type
- Individual (NPI-1)
- Name
- Michael James Broussard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2026
- Certification date
- Apr 2, 2026
- Last updated
- Apr 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | NE | Yes |
Practice location
615 S Beltline Hwy E Ste BScottsbluff, NE 69361-3510
Phone 402-742-0311
Mailing address
615 S Beltline Hwy E Ste BScottsbluff, NE 69361-3510
Phone 402-742-0311
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All 87 Adult Companion providers in Scottsbluff · All 1,272 providers in Scottsbluff
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