# MRS. STEFFANY R BROCKMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114366754
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 2014036817 | MO | Yes |

## Other

- **Enumeration date:** 06/17/2013
- **Last updated:** 07/14/2015