Brockmann, Angie L

Brockmann, Angie L is an individual health care provider with primary practice located at 823 Sw Mulvane St , Topeka KS 66606-1764. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brockmann, Angie L can be contacted via phone (785) 354-9591.

Contact Information

Primary practice address
823 Sw Mulvane St Topeka KS 66606-1764
Phone: (785) 354-9591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 44322 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 44322 Kansas

Profile Details

NPI number 1235106626
LBN Legal business name Brockmann, Angie L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jun 11th, 2024 - about 5 months ago

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 1235106626 NPPES
Kansas Other 161708 MEDICARE PTAN
Kansas MEDICAID 100339830B MEDICARE PTAN

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