Judd Tanner Broussard CRNA

  • NPI 1073612693
According to our database, the NPI number for Judd Tanner Broussard CRNA is 1073612693 and activated since 17 years ago. Judd Tanner Broussard CRNA is an individual provider who specializes in Nurse Anesthetist, Certified Registered, and the primary practice location is 1103 Kaliste Saloom Rd, Lafayette, LA 70508. You can also contact Judd Tanner Broussard CRNA via telephone number is (337) 988-5646. Provider NPI information was last updated on 07/29/2010.

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Overview of Judd Tanner Broussard CRNA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/21/2006
  • Last updated: 07/29/2010

Primary Scrop of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: AP04874
  • License State: LA

Provider Mailing Address

  • Address: 1103 Kaliste Saloom Rd
    Suite 304
    Lafayette, LA 70508
  • Phone: 337-988-5646
  • Fax: 337-988-4298

Provider Practice Location

  • Address: 1103 Kaliste Saloom Rd
    Suite 304
    Lafayette, LA 70508
  • Phone: 337-988-5646
  • Fax: 337-988-4298

Scope of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: AP04874
  • License State: LA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1581160
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: LA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Judd Tanner Broussard CRNA?
  • A: The npi number for Judd Tanner Broussard CRNA is 1073612693.
  • Q: What are Judd Tanner Broussard CRNA's specialties?
  • A: Judd Tanner Broussard CRNA's specialties are Nurse Anesthetist, Certified Registered and different specialities.
  • Q: What is the medical license for Judd Tanner Broussard CRNA?
  • A: The medical license number for Judd Tanner Broussard CRNA is AP04874 and issued in LA in USA.
  • Q: Where is Judd Tanner Broussard CRNA practice location?
  • A: Judd Tanner Broussard CRNA is practicing at 1103 Kaliste Saloom Rd, Lafayette, LA 70508.
  • Q: How to contact Judd Tanner Broussard CRNA?
  • A: You can contact Judd Tanner Broussard CRNA via 337-988-5646.