Individual provider · Type 1 NPI

Mattia Brose, APRN

Family Nurse Practitioner · Bloomfield, CT

NPI number 1104365071 Active

Practice location

421 Cottage Grove Rd
Bloomfield, CT 06002-3336

Mailing address

699 Cottage Grove Rd
Bloomfield, CT 06002-3059

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X6947 (CT)
Primary Care Nurse Practitioner 363LP2300X6947 (CT)
Family Nurse Practitioner Primary 363LF0000X6947 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1104365071

Mattia Brose, APRN's National Provider Identifier is 1104365071, issued on Feb 13, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bloomfield, CT. The record was last updated on Mar 1, 2021.