Individual
DIANA KATHLEEN BROSIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP
Contact information
Practice address
292 GLADES RD STE 8, BEREA, KY 40403-1368
(859) 428-7862
(859) 999-7869
Mailing address
946A SOUTHERN HILLS DR, RICHMOND, KY 40475-3410
(859) 582-9897
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1127069
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018471
KY
Other
Enumeration date
04/13/2022
Last updated
10/21/2022
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