MARISSA L BROSMER (NPI# 1497303572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497303572 |
| Entity Type | Individual |
| Full Name | MARISSA L BROSMER |
| Credential | NP-C |
| Practice Address |
440 Scott Rolen Drive Jasper IN 47546 |
| Mailing Address |
5877 W 500n Jasper IN 47546-9800 |
| Practice Telephone | 8124825656 |
| Mailing Telephone | 8126399511 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28209398A | IN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71009300A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
440 SCOTT ROLEN DRIVE |
| City | JASPER |
| State | IN |
| Zip Code | 47546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| 1700824653 | Kathleen A Flannagan | Ophthalmology | 2005 St. Charles Street, Suite 4, Jasper, IN 47546 | 2006-06-03 |
| Find all providers in zip 47546 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659922789 | Annette Renae Klem | Nurse Practitioner | 670 Rumbach Ave, Jasper, IN 47546-3513 | 2019-09-20 |
| 1811558901 | Elaina Miranda Averett | Nurse Practitioner | 580 Hampton Farms Trl, Jasper, GA 30143-5571 | 2019-06-28 |
| 1003473877 | Tiffany Tolliver | Nurse Practitioner | 508 Deer Ridge Run, Jasper, AL 35503-5573 | 2019-05-28 |
| 1578063590 | Nicole Noreen Tucker | Nurse Practitioner | 134 Mountainside Village Pkwy Bldg 500, Jasper, GA 30143-8694 | 2018-02-16 |
| 1467989533 | Kathleen Ann Munning | Nurse Practitioner | 1950 Saint Charles St Ste 4, Jasper, IN 47546-9172 | 2017-05-18 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1689111460 | Chris Hue Gilchriest Jr. | Nurse Practitioner | 541 Dogwood St, Jasper, TX 75951-5658 | 2017-01-31 |
| 1962949222 | Ace Beam | Nurse Practitioner | 3400 Highway 78 E Ste 215, Jasper, AL 35501-8950 | 2017-01-25 |
| 1376928770 | Elizabeth Jane Mckinley | Nurse Practitioner | 220 J L White Dr Ste 110, Jasper, GA 30143-4894 | 2015-07-27 |
| 1225415581 | Ashley Gilley | Nurse Practitioner | 744 Noah Dr Ste 108, Jasper, GA 30143-8704 | 2015-05-06 |
| Find all providers in JASPER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.