Individual
KLA J BROSIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
8131 SPYGLASS HILL DR, FAYETTEVILLE, PA 17222-5500
(717) 749-3181
(717) 349-3191
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN703306
PA
363L00000X
Nurse Practitioner
SP022125
PA
363LF0000X
Family Nurse Practitioner
SP022125
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP029731
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103802749
—
PA
01
—
1043620669
NPI
—
01
—
14672457
CAQH
PA
Enumeration date
05/05/2014
Last updated
12/05/2025
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