Doctor Name: | MRS. MARGARET ELLEN BROCKSON |
NPI Number: | 1700993243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 44998 |
Business Practice Address: | 600 Caisson Hill Road Ft. Riley, KS - 66442 |
Business Phone Number: | 7852397499 |
Business Fax Number: | 7852397240 |
Mailing Address: | 2704 Candlewood Dr, MANHATTAN |
State: | KS |
Postal Code: | 665030307 |
Phone Number: | 7855396497 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 44998 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |