Individual provider · Type 1 NPI
Michael Brockman, DNP
Psychiatric/Mental Health Nurse Practitioner · Louisville, KY
NPI number
1407687486
Active
Practice location
200 E Chestnut St
Louisville, KY 40202-1831
Fax (502) 588-0801
Mailing address
PO Box 776879
Chicago, IL 60677-6879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4049037 (KY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1407687486
Michael Brockman, DNP's National Provider Identifier is 1407687486, issued on Aug 12, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Louisville, KY. The record was last updated on Jun 30, 2026.