Individual provider · Type 1 NPI
Sonja Brockman, DNP, FNP-BC
Family Nurse Practitioner · Roseville, MN
NPI number
1205465564
Active
Practice location
2685 Long Lake Rd Ste 105
Roseville, MN 55113-1117
Mailing address
2685 Long Lake Rd Unit 105
Roseville, MN 55113-1117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 6259 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1205465564
Sonja Brockman, DNP, FNP-BC's National Provider Identifier is 1205465564, issued on Apr 7, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roseville, MN. The record was last updated on May 16, 2020.