Brenda A Broussard, RD, CDE, BC-ADM Valid NPI
Individual provider · Metabolic Nutrition Registered Dietitian · Albuquerque, NM
- NPI
- 1962628156
- Type
- Individual (Type 1)
- Primary specialty
- Metabolic Nutrition Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133VN1006X
- License number
- 036 (NM)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-04-17
- Last updated
- 2007-07-08
Practice location
Presbyterian Family Practice Medical Group, 3901 Atrisco
Albuquerque, NM 87120
(505) 462-7575