Andrea E Brockberg in Maplewood - Women's Health

Andrea E Brockberg - NPI 1821034281

Andrea E Brockberg is a Women's Health in Maplewood, Minnesota. Andrea E Brockberg practices all healthcare services and medical treatments related to Women's Health. The NPI Number for Andrea E Brockberg is 1821034281. The last update date is 2013-08-28.

Andrea E Brockberg's current location address is 2603 White Bear Ave N, Maplewood, Minnesota. You can contact this provider via phone number 6516003035 and fax number 6513488783. The mailing address for Andrea E Brockberg is 2603 White Bear Ave N, Maplewood, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea E Brockberg
Address 2603 White Bear Ave N, Maplewood, Minnesota
Phone Number 6516003035
Fax Number 6513488783
Sole Proprietor N
Credentials WHNP

NPI Number Detail

NPI Number 1821034281
Provider Enumeration Date 2006-06-22
Last Updated Date 2013-08-28

Provider Mailing Address Detail

Address 2603 White Bear Ave N
City Maplewood
State Minnesota (MN)
Post Code 551095110
Phone Number 6516003035
Fax Number 6513488783

Provider's Primary Taxonomy Detail

Speciality Women's Health
Taxonomy 363Lw0102X
Licence No R1697315
Definition:
An advanced practice registered nurse expert in specialized healthcare for women with a focus on reproductive health.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
861404100 MN --

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FAQs about Andrea E Brockberg

What is the Andrea E Brockberg's unique identification number?

The Andrea E Brockberg has been assigned the NPI (National Provider Identifier) Number 1821034281 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Andrea E Brockberg is located?

The Andrea E Brockberg is situated at the following address: 2603 White Bear Ave N, Maplewood, MN, 551095110.

What is Andrea E Brockberg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Andrea E Brockberg is Women's Health, and the taxonomy code that classifies this field of practice is 363Lw0102X.

On what date did the Andrea E Brockberg receive the assignment of its 1821034281 from the Centers for Medicare & Medicaid Services?

The Andrea E Brockberg was issued its 1821034281 by the Centers for Medicare & Medicaid Services on 2006-06-22.

When was the information related to Andrea E Brockberg most recently updated or refreshed?

The details pertaining to the Andrea E Brockberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-08-28.

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