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Search › Ohio › Psychiatric/Mental Health Nurse Practitioner

Michael Brockman

NPI 1275075152 · on the registry since 2016

Practice

Address
5348 Lamme Rd
Moraine, OH 45439
Phone
(937) 534-4651
Fax
(937) 522-8799
Clinicians at this address
11

Additional practice sites

  • 323 N Broad St, Fairborn, OH

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio