Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desiree Brouillette, CFM03594

Individual provider Mastectomy Fitter · NPI 1962346262

Desiree Brouillette, CFM03594 is a Mastectomy Fitter in Alexandria, Louisiana. Licensed in Louisiana. Registered with an NPI since 2026.

Licensed in
LA
In the registry since
2026

Practice location Address checks out

78A Versailles Blvd
Alexandria, LA 71303-3960
Phone: (318) 619-7772
Fax: (318) 619-1101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mastectomy Fitter (primary) Taxonomy 224900000X · Licence CFM03594 (LA)

Record details

NPI number1962346262
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFM03594
Sole proprietorNo
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

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