Provider Demographics
NPI:1780803684
Name:BROGAN, MAUREEN M (APN RN FNP WHNP NURS)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:M
Last Name:BROGAN
Suffix:
Gender:F
Credentials:APN RN FNP WHNP NURS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6609 VIRGINIA PARKWAY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5513
Mailing Address - Country:US
Mailing Address - Phone:972-542-8884
Mailing Address - Fax:214-544-9400
Practice Address - Street 1:6609 VIRGINIA PARKWAY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5513
Practice Address - Country:US
Practice Address - Phone:972-542-8884
Practice Address - Fax:214-544-9400
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX605765207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PO7730Medicare UPIN
TXP07730Medicare UPIN