Individual
KRISTEN NICOLE BROSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
119 NEVADA DR, KULPMONT, PA 17834-1960
(570) 373-1250
(570) 373-1718
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP025341
PA
363LF0000X
Family Nurse Practitioner
SP025341
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP025341
STATE BOARD
PA
Enumeration date
02/08/2022
Last updated
09/11/2023
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