Individual
BREANNA ROSE SHOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-5123
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2450603
MN
363LF0000X
Family Nurse Practitioner
Primary
9324
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2450603
RN LICENSE
MN
Enumeration date
07/21/2022
Last updated
10/21/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us