Individual
SARAH BROSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1531 S MADISON ST, APPLETON, WI 54915-1800
(920) 730-4411
Mailing address
1531 S MADISON ST, APPLETON, WI 54915-1800
(920) 730-4411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13027-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13027-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100210683
—
WI
05
—
100213320
—
WI
Enumeration date
07/13/2022
Last updated
09/28/2022
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