person
Michael P. Brockman
Psychiatric/Mental Health Nurse Practitioner in Moraine, Ohio
NPI 1275075152

Michael P. Brockman is a Psychiatric/Mental Health Nurse Practitioner based in Moraine, OH and is specialized in Psychiatric/Mental Health. Michael P. Brockman practices in Moraine, OH. The NPI Number for Michael P. Brockman is 1275075152 and holds a License No. APRN.CNP.024158 (Ohio).

The current practice location address for Michael P. Brockman is 5348 Lamme Rd, Moraine, OH and can be reached out via phone at 937-534-4651 and via fax at 937-522-8799.

Location: 5348 Lamme Rd, Moraine, OH, 45439-3215
person
Provider Profile Details
NPI Number
1275075152
Provider Name
Michael P. Brockman
Credential
Provider Entity Type
Individual
Gender
Male
Address
5348 Lamme Rd, Moraine, OH, 45439-3215
Phone Number
937-534-4651
Fax Number
937-522-8799
Provider Enumeration Date
11/09/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0342029 05 OH
H709731 01 OH MEDICARE
institution
Provider Business Practice Location Address Details
Address
5348 Lamme Rd
City
State
Zip
45439-3215
Phone Number
937-534-4651
Fax Number
937-522-8799
person
Provider Business Mailing Address Details
Address
5348 Lamme Rd
City
State
Zip
45439-3215
Phone Number
937-534-4651
Fax Number
937-522-8799
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
APRN.CNP.024158 (Ohio)
Definition
Definition to come...
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