MICHELLE BROUSSARD, PHD, RDN, LD
Dietitian, Registered
Active
Individual
NPI: 1689551053
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nutritionist - Nutrition, Education | 133NN1002X | No | LD002261 (GA) |
| Dietary Manager | 132700000X | No | LD002261 (GA) |
| Dietitian, Registered - Nutrition, Renal | 133VN1005X | No | LD00261 (GA) |
| Clinic/Center - Community Health | 261QC1500X | No | LD002261 (GA) |
| Dietitian, Registered | 133V00000X | Yes | LD002261 (GA) |
Frequently Asked Questions
NPI 1689551053 is the National Provider Identifier for MICHELLE BROUSSARD, PHD, RDN, LD, a Dietitian, Registered provider located in Ellenwood, GA. This NPI was enumerated on August 18, 2025.
MICHELLE BROUSSARD, PHD, RDN, LD practices at 4300 WARD BLUFF DR, Ellenwood, GA 30294.
Quick Facts
- NPI
- 1689551053
- Type
- Individual
- Enumerated
- Aug 18, 2025
- Last Updated
- Aug 18, 2025
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