Individual
PATRICIA MARY BROCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP RN
Contact information
Practice address
361 3RD ST STE E, SAN RAFAEL, CA 94901
(415) 499-4030
(415) 507-2634
Mailing address
6090 REDWOOD BLVD G, NOVATO, CA 94945-4569
(415) 798-3106
(415) 798-3180
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
368074
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
8387
CA
Other
Enumeration date
08/31/2006
Last updated
09/28/2015
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