Elizabeth Brouillette, PA, APRN

NPI #1750816559 in Longview, Texas

Provider Information

NPI Number: 1750816559
Entity Type: Individual
Name: Elizabeth Brouillette, PA, APRN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA, APRN
Enumeration Date: Apr 29, 2017
Last Updated: Oct 11, 2017

Practice Location

Address: 1103 REGINA ST
City: Longview
State: Texas
ZIP Code: 75605-1527
Phone: (903) 806-2373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X	Primary

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