Provider Demographics
NPI:1205443454
Name:BROSZ, NATALIE GAYLE (CNP-AGACNP)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:GAYLE
Last Name:BROSZ
Suffix:
Gender:F
Credentials:CNP-AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 BLACK HORSE RUN
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-9019
Mailing Address - Country:US
Mailing Address - Phone:513-535-7645
Mailing Address - Fax:
Practice Address - Street 1:222 PIEDMONT AVE STE 7200
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-4224
Practice Address - Country:US
Practice Address - Phone:513-475-8787
Practice Address - Fax:513-929-7239
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2020036774363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care