MISS LA-URSHALAR B BROCK CNM FNP-BC NPI 1073764981

NPI Information

  • NPI: 1073764981
  • Provider Name: MISS LA-URSHALAR B BROCK, CNM, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1365 CLIFTON RD NE BLDG C
    SUITE 2126
    ATLANTA, GA
    ZIP 30322
  • Phone: (404) 778-1900

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NPI Details

MISS La-urshalar B Brock, CNM, FNP-BC is a family nurse practitioner in Atlanta, GA with 17 years of experience. MISS La-urshalar B Brock, CNM, FNP-BC NPI is 1073764981. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

1365 CLIFTON RD NE BLDG C
SUITE 2126
ATLANTA, GA
ZIP 30322-013
Phone: (404) 778-1900

The NPI 1073764981 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 10/9/2008 and was last updated on 10/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367A00000XAdvanced Practice MidwifeRN167836GEORGIANo
2363LF0000XNurse PractitionerFamilyRN 167836GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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