Broussard, Brenda A
Broussard, Brenda A is an sole proprietor health care provider with primary practice located at Presbyterian Family Practice Medical Group 3901 Atrisco, Albuquerque NM 87120. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Broussard, Brenda A can be contacted via phone (505) 462-7575.Contact Information
Primary practice address
Presbyterian Family Practice Medical Group 3901 Atrisco
Albuquerque NM 87120
Phone: (505) 462-7575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 036 | New Mexico |
Profile Details
| NPI number | 1962628156 |
|---|---|
| LBN Legal business name | Broussard, Brenda A |
| Credentials | RD, CDE, BC-ADM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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