Active NPIIndividual provider

Stacey Brosnan, NP, CNM

Nurse Practitioner, Obstetrics & Gynecology in East Hampton, New York

NPI Number1194803510
Practice location
200 Pantigo Pl Ste N, East Hampton, NY 11937-5923
Fax
631-759-9429
Last updated
February 10, 2026

Stacey Brosnan is a Nurse Practitioner, Obstetrics & Gynecology based in East Hampton, NY. Stacey Brosnan practices in East Hampton, NY and has the professional credentials of NP, CNM. The NPI Number for Stacey Brosnan is 1194803510 and holds a License No. 000345 (NY). The current practice location address for Stacey Brosnan is 200 Pantigo Pl Ste N, East Hampton, NY 11937-5923 and can be reached out via phone at 631-329-6500 and via fax at 631-759-9429.

Provider Profile Details

NPI Number
1194803510
Provider Name
Stacey Brosnan
Credential
NP, CNM
Provider Entity Type
Individual
Gender
Female
Address
200 Pantigo Pl Ste N, East Hampton, NY 11937-5923
Phone Number
631-329-6500
Fax Number
631-759-9429
Primary Taxonomy
Nurse Practitioner, Obstetrics & Gynecology · 363LX0001X
Sole Proprietor
No
Provider Enumeration Date
November 2, 2006
Last Update Date
February 10, 2026
Certification Date
February 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Pantigo Pl Ste N
East Hampton, NY 11937-5923
Zip
11937-5923
Phone Number
631-329-6500
Fax Number
631-759-9429
East Hampton, NY 11937Get directions →

Provider Business Mailing Address Details

Address
Po Box 31218
Hartford, CT 06150-1218
City
Hartford
State
CT
Zip
06150-1218
Phone Number
914-328-4500

License Information

License Number (1)
000345
License State (1)
NY
Taxonomy (1)
Midwife · 176B00000X
License Number (2)
F360388
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Obstetrics & Gynecology · 363LX0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacey Brosnan, NP, CNM?

The NPI number of Stacey Brosnan, NP, CNM is 1194803510. It was assigned on November 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Stacey Brosnan, NP, CNM?

Stacey Brosnan, NP, CNM is registered under the primary taxonomy Nurse Practitioner, Obstetrics & Gynecology (code 363LX0001X), licensed in NY under license number 000345.

Where does Stacey Brosnan, NP, CNM practice?

The practice location is 200 Pantigo Pl Ste N, East Hampton, NY 11937-5923. The office can be reached at 631-329-6500 (phone) or 631-759-9429 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194803510 directly on the NPPES registry website.

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