Individual provider · Type 1 NPI

La-Urshalar B. Brock, CNM, FNP-BC

Family Nurse Practitioner · Atlanta, GA

NPI number 1073764981 Active

Practice location

1365 Clifton Rd NE Bldg C, Suite 2126
Atlanta, GA 30322-1013

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN 167836 (GA)
Advanced Practice Midwife 367A00000XRN167836 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1073764981

La-Urshalar B. Brock, CNM, FNP-BC's National Provider Identifier is 1073764981, issued on Oct 9, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on Oct 8, 2013.