LAURA BROUSSARD (NPI# 1174632954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174632954 |
| Entity Type | Individual |
| Full Name | LAURA BROUSSARD |
| Other Name | LAURA FORBES |
| Credential | APRN |
| Practice Address |
103 Camelia St Royal City WA 99357 |
| Mailing Address |
820 N Chelan Ave Wenatchee WA 98801-2028 |
| Practice Telephone | 5096638711 |
| Mailing Telephone | 5096638711 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP61075750 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882248 | Laura Gisclair Broussard | Speech-Language Pathologist | 6910 Sandwedge Point Ct, Spring, TX 77389-4007 | 2019-10-11 |
| 1629512389 | Laura Broussard | Counselor | 100 Asma Blvd, Lafayette, LA 70508 | 2016-12-14 |
| Street Address |
103 CAMELIA ST |
| City | ROYAL CITY |
| State | WA |
| Zip Code | 99357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720426596 | Ngoc Huu Quyuh Tran | Physician Assistant | 103 Camelia St Nw, Royal City, WA 99357 | 2013-06-13 |
| 1417297409 | Elaine Prest | Registered Nurse | 230 Wildflower St. Ne, Royal City, WA 99357 | 2013-02-27 |
| 1548507338 | Wenatchee Valley Hospital | Family Medicine | 103 Camelia St. N.w., Royal City, WA 99357 | 2013-01-14 |
| 1629360946 | Robyn J Valdez | Massage Therapist | 124 Fern Street, Royal City, WA 99357 | 2011-05-04 |
| 1740422666 | County of Grant | Ambulance | 336 Camelia St Nw, Royal City, WA 99357 | 2009-03-25 |
| 1417978842 | Bruce R Douglas | Physician Assistant | 103 Camelia St., Royal City, WA 99357 | 2006-07-21 |
| 1811922982 | John P Clark | Physician Assistant | 101 Camelia St Nw, Royal City, WA 99357 | 2006-07-11 |
| 1962586503 | Clinic At Royal City | Non-Pharmacy Dispensing Site | 101 Camelia St Nw, Royal City, WA 99357 | 2006-10-24 |
| 1710075254 | Grant County Fire District No 10 | Ambulance | 336 Camelia St Ne, Royal City, WA 99357-0220 | 2006-10-10 |
| 1538597224 | Louise Ann Andersen | Licensed Practical Nurse | 224 Wildflower Ave Ne, Royal City, WA 99357-0364 | 2013-10-16 |
| Find all providers in zip 99357 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889369 | Abigail E Mercure | Nurse Practitioner | 7618 Ne Champagne Point Pl, Kirkland, WA 98034-3448 | 2020-10-24 |
| 1043819907 | Matthew Sean Krabbendam | Nurse Practitioner | 7315 212th St Sw Ste 207, Edmonds, WA 98026-7610 | 2020-10-21 |
| 1700485919 | Yanique Ricie Nana Yakam Azah | Nurse Practitioner | 22829 Se 239th Ct, Maple Valley, WA 98038-5052 | 2020-10-19 |
| 1164029484 | Chelsea Lauren Bresnahan | Nurse Practitioner | 7928 S Parway Ln, Cheney, WA 99004-8619 | 2020-10-08 |
| 1023615549 | Brian D Ottesen | Nurse Practitioner | 2315 Crestwood Pl Nw, Olympia, WA 98502-4095 | 2020-10-07 |
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1740896927 | Maia Zink | Nurse Practitioner | 10837 E Riverside Dr Apt C, Bothell, WA 98011-6123 | 2020-09-22 |
| 1760098339 | Yunyun Lu | Nurse Practitioner | 4922 51st Avenue Ct W, University Place, WA 98467-4828 | 2020-09-19 |
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | ROYAL CITY |
| Zip Code | 99357 |
Please comment or provide details below to improve the information on LAURA BROUSSARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.