CINDERELLA BROUSSARD LLC


Address: 208 W Gloria Switch Rd # 6, Lafayette, LA 70507-3409
Phone: 3375657026

CINDERELLA BROUSSARD LLC (NPI# 1295273837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295273837
Entity Type Organization
Organization Name CINDERELLA BROUSSARD LLC
Practice Address 208 W Gloria Switch Rd # 6
Lafayette
LA 70507-3409
Mailing Address Po Box 913
Carencro
LA 70520-0913
Practice Telephone 3375657026
Practice Fax Number 8558325335
Mailing Telephone 3378863151
Enumeration Date 2017-02-02
Last Update Date 2020-01-11
Authorized Official Name CINDERELLA MARIE BROUSSARD (OWNER)
Authorized Official Telephone 3378863151
Authorized Official Credential PMHNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP09099 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 208 W GLORIA SWITCH RD # 6
City LAFAYETTE
State LA
Zip Code 70507-3409

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043724107 Danielle Bias Counselor 106 Smalley Rd, Lafayette, LA 70507 2017-11-28
1720505076 Amy C Rochon Counselor 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 2017-08-28
1174045504 Mia Collins Case Manager/Care Coordinator 315 Amesbury Dr Apt 357, Lafayette, LA 70507 2017-07-07
1942739792 Precious Charles Counselor 200 Buttercup Dr Apt 613, Lafayette, LA 70507 2017-06-06
1346633831 Minute Med Clinic - Pont De Mouton LLC Clinic/Center 104 Banister Court, Suite 1c, Lafayette, LA 70507 2015-03-09
1134559578 Britt Elliott Martin Pharmacist 920 West Gloria Switch Road, Lafayette, LA 70507 2013-11-21
1801130877 Barney Joseph Fusilier Jr. Pharmacist 920 W. Gloria Switch Rd., Walgreens, Lafayette, LA 70507 2012-11-15
1508140773 Joseph Kenneth Vizena Pharmacist 3754 Moss Street, Lafayette, LA 70507 2011-10-05
1629177399 Kevin Lyle Francois Pharmacist 3803-f Moss St, Lafayette, LA 70507 2006-09-21
1821024563 Vermilion Hospital LLC Psychiatric Hospital 2520 N. University Ave, Lafayette, LA 70507 2006-06-24
Find all providers in zip 70507

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376169979 Nancy Ariwodo Nurse Practitioner 225 Rue La France, Lafayette, LA 70508-1565 2020-06-19
1114558715 Danielle J Threatts Aprn LLC Nurse Practitioner 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 2020-02-01
1992359848 Harold G Frizzell Psychiatric Services LLC Nurse Practitioner 300 Thompson Loop, Lafayette, LA 70506-2820 2019-07-29
1154801876 Seth Jordan Bowers Nurse Practitioner 4906 Ambassador Caffery Pkwy # B, Lafayette, LA 70508-6962 2018-08-21
1205351137 Laura Lee Kight Nurse Practitioner 215 Rue Fontaine, Lafayette, LA 70508-5742 2017-08-11
1811441702 Amanda Barfield, LLC Nurse Practitioner 103 Epinal Dr, Lafayette, LA 70507-3241 2016-08-08
1437500519 April Breaux Nurse Practitioner 114 Representative Row Ste B, Lafayette, LA 70508-3878 2016-06-29
1497119481 Acadiana Healthcare Solutions LLC Nurse Practitioner 711 N Pierce St, Lafayette, LA 70501-3529 2016-04-06
1477926715 Lisa A. Chavis LLC Nurse Practitioner 2826 Louisiana Ave, 1202, Lafayette, LA 70501-1383 2015-11-09
1881060044 Bethany Verret Collins Nurse Practitioner 850 Kaliste Saloom Rd Ste 112, Lafayette, LA 70508-4230 2015-08-11
Find all providers in LAFAYETTE

Competitor

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City LAFAYETTE
Zip Code 70507

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Dataset Information

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.

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