Individual
MATTIA BROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
421 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3336
(860) 242-3990
Mailing address
699 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3059
(860) 242-0034
(860) 242-3301
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
6947
CT
363LF0000X
Family Nurse Practitioner
Primary
6947
CT
363LP2300X
Primary Care Nurse Practitioner
6947
CT
Other
Enumeration date
02/13/2017
Last updated
03/01/2021
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