Provider Demographics
NPI:1962124214
Name:BROTMANN, EMILY STEVENS I (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:STEVENS
Last Name:BROTMANN
Suffix:I
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 DEVONSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5444
Mailing Address - Country:US
Mailing Address - Phone:914-960-8716
Mailing Address - Fax:
Practice Address - Street 1:34 DEVONSHIRE DR
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-5444
Practice Address - Country:US
Practice Address - Phone:914-960-8716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY404286363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health