Lisa Beth Brosnan, NP
Individual provider Active NPI Family Nurse Practitioner · Wilbraham, MA
NPI 1609387182 · NPPES record last updated Dec 21, 2017
Key facts
- NPI
- 1609387182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN225315 (MA)
- Practice address
- 2344 Boston Rd
Wilbraham, MA 01095-1104 - Phone
- (413) 596-5550
- Fax
- (413) 794-2551
- NPI assigned
- Oct 23, 2017
- 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)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN225315 | MA | Yes |
Addresses
Primary practice location
2344 Boston Rd
Wilbraham, MA 01095-1104
Mailing address
280 Chestnut Street
2ND FL
Springfield, MA 01199-1001
Phone (413) 794-5700
Other providers in Wilbraham, MA
- Halina Boyer
- Joseph M Boyle
- Valerie Brach-Bonkowski
- Tyler Joseph Branco
- Adriana Brooks
- Lindsey Brunette
- Amanda M Bryant
- Laurie Dasso Butler
- Celsea Caisse
- Molly Caltabiano
All providers in Wilbraham, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2017. 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.