Individual
TAMMY BROCKMOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 568-8000
Mailing address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 568-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
61850
NE
363L00000X
Nurse Practitioner
Primary
115495
NE
Other
Enumeration date
03/25/2024
Last updated
07/18/2024
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