IndividualActive
Brenda Broussard, RD, CDE, BC-ADM
NPI 1962628156 · Metabolic Nutrition Registered Dietitian · Albuquerque, NM
Provider details
- NPI number
- 1962628156
- Entity type
- Individual
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CDE, BC-ADM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036 (NM)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
Presbyterian Family Practice Medical Group
3901 Atrisco
Albuquerque, NM 87120
Phone: (505) 462-7575
Approximate (ZIP-level) locationGet directions
Mailing address
18 Berm St Nw
Albuquerque, NM 87120-1822
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.