Individual
MARISSA L BROSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
440 SCOTT ROLEN DRIVE, JASPER, IN 47546
(812) 482-5656
Mailing address
5877 W 500N, JASPER, IN 47546-9800
(812) 639-9511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28209398A
IN
363L00000X
Nurse Practitioner
71009300A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009300A
IN
Other
Enumeration date
08/30/2019
Last updated
04/12/2026
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