JEAN MARIE BROSNAN (NPI# 1972132256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972132256 |
Entity Type | Individual |
Full Name | JEAN MARIE BROSNAN |
Credential | RN |
Practice Address |
451 Health Pkwy Paw Paw MI 49079-8242 |
Mailing Address |
106 Clinton St Dowagiac MI 49047-2113 |
Practice Telephone | 2696551729 |
Enumeration Date | 2020-04-07 |
Last Update Date | 2020-04-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
4704219409 | MI | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750502340 | Jean Davis Brosnan | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2007-05-01 |
Street Address |
451 HEALTH PKWY |
City | PAW PAW |
State | MI |
Zip Code | 49079-8242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033115183 | Pamela Nelson | Family Medicine | 451 Health Pkwy, Suite B, Paw Paw, MI 49079-8242 | 2005-06-23 |
1114570801 | Kinju Dudhia | Physical Therapist | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2019-07-22 |
1235781345 | Marlesa Maria Johnson | Physical Therapist | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2019-07-10 |
1447802459 | Miranda Novak | Physical Therapist | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2019-07-10 |
1336709500 | Daniel E Laird | Physical Therapist | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2019-06-19 |
1932625043 | Debra Lynn Koning | Social Worker | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2017-08-21 |
1720439979 | Kimberly Baker | Social Worker | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2016-06-29 |
1467858118 | Sara Bailey | Nurse Practitioner | 451 Health Pkwy, Suite A, Paw Paw, MI 49079-8242 | 2014-11-07 |
1053729269 | Todd Super | Pharmacist | 451 Health Pkwy, Paw Paw, MI 49079 | 2014-07-31 |
1275959744 | Ashley Nichols | Occupational Therapist | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2014-03-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700359387 | Elizabeth Ann Heskett | Social Worker | Bronson Lakeview Family Care, 451 Health Parkway, Suite B, Paw Paw, MI 49079 | 2019-01-07 |
1346775269 | Timothy Adli Kanaan | Counselor | 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | 2017-04-28 |
1558655464 | Tamayi Bwititi | Family Medicine | 451 Health Pkwy Ste G, Paw Paw, MI 49079 | 2011-06-08 |
1942401047 | Jenny Adina Grunberg | Dentist | 54055 County Rd 653, Paw Paw, MI 49079 | 2007-05-29 |
1912058918 | David James Potts | Psychologist | 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 | 2007-01-16 |
1760438378 | Starhealth Multi-specialty Group, P.C. Pharmacy | Pharmacist | 451 Health Parkway, Paw Paw, MI 49079 | 2006-05-25 |
1528029568 | Jayantilal J Bathani | Pediatrics | 505 Hazen St, Ste 203, Paw Paw, MI 49079 | 2006-03-29 |
1548231202 | Gregory Cassidy | Physician Assistant | 125 N Kalamazoo St, #82, Paw Paw, MI 49079 | 2006-01-31 |
1649782418 | Amber Bemis | Occupational Therapy Assistant | 801 Hazen Street, Suite C, Paw Paw, MI 49079 | 2017-11-01 |
1073047122 | Theresa Arnold | Social Worker | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 | 2017-04-15 |
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Taxonomy Code | 163WP2201X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Ambulatory Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447889605 | Julie Marie Flanders | Registered Nurse | 451 Health Pkwy Ste G, Paw Paw, MI 49079-8242 | 2020-04-08 |
1255960464 | Abby Lynne Garey | Registered Nurse | 451 Health Pkwy Ste E, Paw Paw, MI 49079-8242 | 2020-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255960597 | Susan D Ellison | Registered Nurse | 5629 Stadium Dr Ste D, Kalamazoo, MI 49009-1952 | 2020-04-08 |
1639798887 | Julie Marie Marchlewski | Registered Nurse | 363 Fremont St Ste 308ab, Battle Creek, MI 49017-3389 | 2020-04-08 |
1982233243 | Andrea D Coats | Registered Nurse | 6901 Portage Rd, Portage, MI 49002-3702 | 2020-04-07 |
1497384820 | Ashley Rosa | Registered Nurse | 6901 Portage Rd Ste 210, Portage, MI 49002-3702 | 2020-04-07 |
1184961740 | Pamela Sue Worden | Registered Nurse | 5372 Mirage Cir, Dimondale, MI 48821-9303 | 2013-01-15 |
1205101763 | Vivian Gail Rankins | Registered Nurse | 3219 Traum Dr, Saginaw, MI 48602-3480 | 2012-03-16 |
1467722926 | Ashleigh Beth Miller | Registered Nurse | 3095 Shiawassee Shores Dr, Fenton, MI 48430-1353 | 2011-12-30 |
1609156496 | Lillian Paris Brown | Registered Nurse | 18185 Shoreline Ct, Northville, MI 48168-3291 | 2011-08-24 |
1083227375 | Tracey Miller | Registered Nurse | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 | 2020-08-26 |
1992325120 | Susan Marie Rose-tapper | Registered Nurse | 965 S Bailey Ave, South Haven, MI 49090-6743 | 2020-04-17 |
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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.