Bridget I Brozyna, FNP-C
Individual provider Active NPI Registered Nurse · Bangor, ME
NPI 1508040635 · NPPES record last updated Dec 26, 2007
Key facts
- NPI
- 1508040635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R032851 (ME)
- Practice address
- 304 Hancock Street
Suite 3B
Bangor, ME 04401 - Phone
- (207) 561-3609
- Fax
- (207) 947-1862
- NPI assigned
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R032851 | ME | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R032851 | ME | Yes |
Addresses
Primary practice location
304 Hancock Street
Suite 3B
Bangor, ME 04401
Mailing address
304 Hancock St
Suite 3B
Bangor, ME 04401-6573
Phone (207) 561-3609
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.