Adele Elise Broussard, PA-C

NPI #1972118842 in Raceland, Louisiana

Provider Information

NPI Number: 1972118842
Entity Type: Individual
Name: Adele Elise Broussard, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 8, 2020
Last Updated: Mar 27, 2024

Practice Location

Address: 141 TWIN OAKS DR
City: Raceland
State: Louisiana
ZIP Code: 70394-2761
Phone: (985) 537-2666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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