Individual
SONJA BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
2685 LONG LAKE RD STE 105, ROSEVILLE, MN 55113-1117
(651) 633-6522
Mailing address
2685 LONG LAKE RD UNIT 105, ROSEVILLE, MN 55113-1117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6259
MN
Other
Enumeration date
04/07/2020
Last updated
05/16/2020
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