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Contact Information

LAURA BROUSSARD, APRN
103 CAMELIA ST
ROYAL CITY, WA99357
 Phone: 509-663-8711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LAURA BROUSSARD · (Female)

NPI # 1174632954
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 08/29/2006
Last updated 06/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # AP61075750
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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