Provider Demographics
NPI:1760899637
Name:PROSSER, BRIGID (CRNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:BRIGID
Middle Name:
Last Name:PROSSER
Suffix:
Gender:F
Credentials:CRNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5804 BALTIMORE AVE.
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20781
Mailing Address - Country:US
Mailing Address - Phone:301-927-7800
Mailing Address - Fax:301-209-9474
Practice Address - Street 1:5804 BALTIMORE AVE.
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20781
Practice Address - Country:US
Practice Address - Phone:301-927-7800
Practice Address - Fax:301-209-9474
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR174145163W00000X
DCRN1024693163W00000X
OK114387163W00000X
MI4704308476163W00000X, 363LF0000X
TN203799163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily