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Contact Information

CARRIE D BROCKMAN, RN
34600 E 176TH TER
PLEASANT HILL, MO64080-7219
 Phone: 206-491-5669
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for CARRIE D BROCKMAN · (Female)

NPI Number 1194616094
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/10/2025
Last updated 07/10/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 153753
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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