Individual
MS. KAREN BROCKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4130 LINDELL BLVD, SAINT LOUIS, MO 63108-2914
(314) 535-5600
Mailing address
4130 LINDELL BLVD, SAINT LOUIS, MO 63108-2914
(314) 535-5600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2015040933
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015040933
STATE BOARD OF NURSING
MO
Enumeration date
01/20/2017
Last updated
01/20/2017
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