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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KLA J BROSIUS, CRNP

Active

KLA J BROSIUS, CRNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in FAYETTEVILLE, Pennsylvania. NPI 1043620669 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · FAYETTEVILLE, PA

Registration Details

NPI Number
1043620669
Provider Type
Individual
Gender
Male
NPI Issued
May 5, 2014 (12.267410133035 yrs)
Last Updated
Dec 5, 2025
Licenses
SP029731 (PA)
SP022125 (PA)
SP022125 (PA)
RN703306 (PA)

Practice Information

Address
8131 SPYGLASS HILL DR
FAYETTEVILLE, PA, 172225500
Browse PA providers · Browse ZIP 17222
Phone
7177493181
Fax
7173493191
Additional Specialty
Nurse Practitioner
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.