LAURIE BROCKELMAN, APRN, Gerontology FITZWILLIAM, NH

Contact Information

LAURIE BROCKELMAN, APRN

462 ROUTE 119 EAST
FITZWILLIAM, NH 03447-3149

Phone: 603-585-6788
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Gerontology	363LG0600X	50	Nurse Practitioner
Adult Health	363LA2200X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for LAURIE BROCKELMAN · (Female)

NPI Number	`1437513140`
Status	Active
Credentials	APRN (Advanced Practice Registered Nurse)
Entity	Individual
Enumeration date	04/08/2016
Last updated	04/08/2016 - About 10 years ago
Sole proprietor ¹	No
Identifiers	NH License # 062618-23
Hospital affiliation(s)	MONADNOCK COMMUNITY HOSPITAL - (Critical Access) 452 OLD STREET ROAD PETERBOROUGH, NH 03458

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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