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NPI Code Detail

MEDICARE: KAMREN M BROZOVIC DNP, APRN, CNM

MEDICARE: KAMREN M BROZOVIC DNP, APRN, CNM
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
1163W00000XRegistered Nurse1035190TX
2367A00000XAdvanced Practice Midwife1035190TX

General Provider Information

NPI Number : 1932990462
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMREN M BROZOVIC DNP, APRN, CNM
Provider Business Mailing Address
First Line : 2302 LONE STAR RD STE 200
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-8751
Country : US
Telephone Number : 682-268-6707
Fax Number :
Provider Business Practice Location Address
First Line : 2302 LONE STAR RD STE 200
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-8751
Country : US
Telephone Number : 682-268-6707
Fax Number : 682-268-6708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2025
Last Update Date : 07/18/2025

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