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Individual

DANA M. BROCKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
102 W JOHN ROWAN BLVD, BARDSTOWN, KY 40004-2663
(502) 348-7880
(502) 348-7881
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
(615) 425-4268

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN # - 3008918
KY
363LF0000X
Family Nurse Practitioner
RN # - 1106829
KY

Other

Enumeration date
10/28/2014
Last updated
10/28/2014
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