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Contact Information

BREANNA J BROUSSEAU, NP
1202 MEDICAL CENTER DR
WILMINGTON, NC28401-7307
 Phone: 910-341-3459
 Fax: 910-343-0438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for BREANNA J BROUSSEAU · (Female)

NPI Number 1578235453
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/29/2021
Last updated 02/03/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 5015119
Hospital affiliation(s)
  • NEW HANOVER REGIONAL MEDICAL CENTER - (Acute Care)
    2131 S 17TH ST BOX 9000
    WILMINGTON, NC 28402
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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