Broussard, Nikki Ilona

Broussard, Nikki Ilona is an individual health care provider with primary practice located at 207 Haven Dr , Dothan AL 36301-2919. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Broussard, Nikki Ilona can be contacted via phone (337) 793-3319.

Contact Information

Primary practice address
207 Haven Dr Dothan AL 36301-2919
Phone: (337) 793-3319
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 1-121127 Alabama

Profile Details

NPI number 1043034580
LBN Legal business name Broussard, Nikki Ilona
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2024
Last updated Nov 12th, 2024 - about 2 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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