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

Erica Broussard

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386334720

Erica Broussard is a Student in an Organized Health Care Education/Training Program in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

520 N 12th St
Richmond, VA 23298-5064
Phone: (804) 828-9190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0442000493 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386334720
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 9, 2023
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing address618 S Destrehan Ave, Destrehan, LA 70047-5132

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