Individual
MRS. PATRICIA ANN BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADVANCE PRACTICE NUR
Contact information
Practice address
1043 ROUTE 70, UNIT C3, MANCHESTER, NJ 08759-5806
(732) 657-6100
(732) 657-0111
Mailing address
1043 ROUTE 70, UNIT C3, MANCHESTER, NJ 08759-5806
(732) 657-6100
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
26NC09345000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042631UCE
MEDICARE
NJ
05
—
0640701
—
NJ
Enumeration date
05/31/2006
Last updated
04/29/2013
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