Individual
ANGIE L BROCKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 354-9591
Mailing address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 354-9591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
44322
KS
363LF0000X
Family Nurse Practitioner
Primary
44322
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100339830B
—
KS
01
—
161708
MEDICARE PTAN
KS
Enumeration date
03/03/2006
Last updated
06/02/2025
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