Provider Demographics
NPI:1164539086
Name:BROPHY, NOREEN LORRAINE (NP)
Entity Type:Individual
Prefix:MS
First Name:NOREEN
Middle Name:LORRAINE
Last Name:BROPHY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 KENSINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-8042
Mailing Address - Country:US
Mailing Address - Phone:516-695-9785
Mailing Address - Fax:
Practice Address - Street 1:127 KENSINGTON ST
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8042
Practice Address - Country:US
Practice Address - Phone:516-695-9785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC900225363LA2200X, 363L00000X
NYF303503-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC900225OtherNP LICENSE
NC1624HOtherBCBSNC
NY303503OtherNP ADULT HEALTH LICENSE
NC92976OtherRN LICENSE
NC92976OtherRN LICENSE