Individual
BRANDEIS BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
15 PRESIDENTIAL BLVD, BALA CYNWYD, PA 19004-1006
(610) 668-8300
Mailing address
2630 W GIRARD AVE UNIT 9137, PHILADELPHIA, PA 19130-1483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP012117
PA
Other
Enumeration date
06/12/2012
Last updated
05/13/2026
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