Provider Demographics
NPI:1184161416
Name:BROSNAHAN, CASSANDRA A (APRN, CNP)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:A
Last Name:BROSNAHAN
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:A
Other - Last Name:SHORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:21209 SHELL STATION ROAD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19945-2457
Mailing Address - Country:US
Mailing Address - Phone:302-381-9329
Mailing Address - Fax:
Practice Address - Street 1:2425 N SALISBURY BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-2138
Practice Address - Country:US
Practice Address - Phone:443-210-2543
Practice Address - Fax:443-210-2544
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0001005363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner