Individual
MRS. KAITLAN ELISE BROSNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-8222
Mailing address
3711 MEADOWBROOK DR, RAPID CITY, SD 57702-0546
(605) 645-8479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001914
SD
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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