Individual
CHRISTINE M BROCKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416
(952) 993-3240
Mailing address
6465 WAYZATA BLVD, SUITE 315, ST LOUIS PARK, MN 55426
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1357969
MN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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