Brock, Danna Maria

Brock, Danna Maria is an individual health care provider with primary practice located at 439 College Ave , Santa Rosa CA 95401-5119. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Brock, Danna Maria can be contacted via phone (707) 206-9124.

Contact Information

Primary practice address
439 College Ave Santa Rosa CA 95401-5119
Phone: (707) 206-9124
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704253912 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704253912 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A0912016 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95003529 California

Profile Details

NPI number 1215286976
LBN Legal business name Brock, Danna Maria
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2012
Last updated Mar 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215286976 NPPES
California Other 95003529 MEDICAL LIC

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