Josie Brosnan, LPN

Individual provider Active NPI Licensed Practical Nurse · Creswell, OR

NPI 1760901987 · NPPES record last updated Sep 7, 2023

Key facts

NPI
1760901987
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
201610175LPN (OR)
Practice address
33142 Camas Swale Rd
Creswell, OR 97426-9732
Phone
(541) 261-5549
NPI assigned
Sep 19, 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)
No

State licenses

LicenseStateTypeSpecialty
201610175LPNORMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 201610175LPN OR Yes

Addresses

Primary practice location

33142 Camas Swale Rd
Creswell, OR 97426-9732

Mailing address

4455 NE Highway 20
Corvallis, OR 97330-9695

Other providers in Creswell, OR

All providers in Creswell, OR · Licensed Practical Nurse in Oregon

Sources for this page

Verify at the official NPI Registry.