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NPI Code Detail

MEDICARE: MRS. SHANNON BROUPHY DUFRENE DNP, FNP-C

MEDICARE: MRS. SHANNON BROUPHY DUFRENE DNP, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP08931LA

General Provider Information

NPI Number : 1295187847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHANNON BROUPHY DUFRENE DNP, FNP-C
Provider Business Mailing Address
First Line : 6225 S CLAIBORNE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70125-4105
Country : US
Telephone Number : 504-864-8080
Fax Number :
Provider Business Practice Location Address
First Line : 6225 S CLAIBORNE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70125-4105
Country : US
Telephone Number : 504-864-8080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2016
Last Update Date : 06/12/2025

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