Provider Demographics
NPI:1861653446
Name:BROSNAN, MARIA ANNE (APRN, ACNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:ANNE
Last Name:BROSNAN
Suffix:
Gender:F
Credentials:APRN, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3890 HELBERG DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-8992
Mailing Address - Country:US
Mailing Address - Phone:406-460-0577
Mailing Address - Fax:
Practice Address - Street 1:3890 HELBERG DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-8992
Practice Address - Country:US
Practice Address - Phone:406-460-0577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-RN-LIC-28885363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care