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Individual
MRS. STEFFANY R BROCKMAN
Active
Individual
MRS. STEFFANY R BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14107455061
KS
163W00000X
Registered Nurse
2002017255
MO
363LA2200X
Adult Health Nurse Practitioner
53-76600-061
KS
363LF0000X
Family Nurse Practitioner
2014036817
MO
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
2014036817
MO
Other
Enumeration date
06/17/2013
Last updated
07/14/2015
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