Alain Broulard
Alain Broulard is a Nurse Practitioner in Venice, California. Qualified in 2015, 11 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 11
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
1122 Garfield AveVenice, CA 90291-4937
Phone: (818) 384-0927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 95009764 (CA) |
|---|
Record details
| NPI number | 1134691215 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 29, 2018 |
| Last updated in NPPES | December 29, 2018 |
| Mailing address | 1122 Garfield Ave, Venice, CA 90291-4937 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Providence Medical Foundation — 1465 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |