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NPI Code Detail

MEDICARE: COLEEN KATHLEEN BROGAN CNM, WHNP

MEDICARE:   COLEEN KATHLEEN BROGAN  CNM, WHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerL1-0047795DE
2363LW0102XWomen's Health Nurse PractitionerAPN844NV
3367A00000XAdvanced Practice MidwifeLK-0000146DE
4363LX0001XObstetrics & Gynecology Nurse PractitionerAPN844NV
5367A00000XAdvanced Practice MidwifeNM1647CA

General Provider Information

NPI Number : 1740393651
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLEEN KATHLEEN BROGAN CNM, WHNP
Provider Business Mailing Address
First Line : 21444 CARMEAN WAY
Second Line :
City : GEORGETOWN
State : DE
Zip : 19947-4572
Country : US
Telephone Number : 302-855-1233
Fax Number : 302-855-2025
Provider Business Practice Location Address
First Line : 21444 CARMEAN WAY
Second Line :
City : GEORGETOWN
State : DE
Zip : 19947-4572
Country : US
Telephone Number : 302-855-1233
Fax Number : 302-855-2025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 09/09/2025

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