Provider Demographics
NPI:1821823261
Name:ROSSMAN, BRIANNA MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:MARIE
Last Name:ROSSMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9216 WESTBURY WOODS DR APT K
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-0185
Mailing Address - Country:US
Mailing Address - Phone:607-329-5926
Mailing Address - Fax:
Practice Address - Street 1:735 CHERRY RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3121
Practice Address - Country:US
Practice Address - Phone:607-329-5926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC368190163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse