Mr. Andrea Broussard
Mr. Andrea Broussard is a Personal Emergency Response Attendant in Gulfport, Mississippi. Works from 2 locations. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2017
- Specialties on file
- 4
Practice location Address checks out
406 Pass RdGulfport, MS 39507
Phone: (286) 699-8402
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 406 Pass Rd, Gulfport, MS 39507 — (286) 699-8402
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X (MS) |
|---|---|
| Personal Emergency Response Attendant | Taxonomy 146D00000X |
| Driver | Taxonomy 172A00000X |
| Personal Care Attendant | Taxonomy 3747P1801X |
Record details
| NPI number | 1538605027 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 9, 2017 |
| Last updated in NPPES | February 1, 2019 |