Individual
CHRISTIE BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
525 PORTLAND AVE, MINNEAPOLIS, MN 55415-1533
(612) 596-9069
Mailing address
19269 DONNELLY AVE, HASTINGS, MN 55033-9553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R153616-2
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
7630
MN
Other
Enumeration date
09/10/2017
Last updated
02/23/2021
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