Individual provider · Type 1 NPI

Michael P. Brockman

Psychiatric/Mental Health Nurse Practitioner · Moraine, OH

NPI number 1275075152 Active

Practice location

5348 Lamme Rd
Moraine, OH 45439-3215

Fax (937) 522-8799

Other practice locations

  • 323 N Broad St, Fairborn, OH 45324 · (937) 318-8103

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN.CNP.024158 (OH)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1275075152

Michael P. Brockman's National Provider Identifier is 1275075152, issued on Nov 9, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Moraine, OH. The record was last updated on Nov 23, 2020.