Lindsey Marie Broussard, RN
Registered Nurse, Community Health in Boston, MA. Individual provider (NPI-1).
NPI number1609545763
StatusActive
Last updated in NPPESSep 10, 2021
Details
- NPI
- 1609545763
- Entity type
- Individual (NPI-1)
- Name
- Lindsey Marie Broussard
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2021
- Certification date
- Sep 3, 2021
- Last updated
- Sep 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC1500X | Registered Nurse, Community Health | RN2309976 | MA | Yes |
Practice location
30 Winter StBoston, MA 02108-4720
Phone 413-695-1563
Mailing address
30 Winter StBoston, MA 02108-4720
Phone 413-695-1563
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