Individual
CORINNE MARY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, MPH
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501
(720) 494-3121
(720) 494-3108
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 494-3121
(720) 494-3108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1619905
CO
363L00000X
Nurse Practitioner
APN.0991380-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0991380-NP
CO
Other
Enumeration date
12/08/2010
Last updated
08/13/2019
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