Sandra Lee Brommeland Gonzalez, APRN-BC Valid NPI
Individual provider · Psychiatric/Mental Health Nurse Practitioner · Thibodaux, LA
- NPI
- 1053428342
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0808X
- License number
- AP 5139 (LA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-24
- Last updated
- 2015-01-27
Practice location
1101 Audubon Ave
Thibodaux, LA 70301-4957
(985) 857-3615