MRS. DAWN RENAE BROCKETT NPI 1154786614

NPI Information

NPI: 1154786614
Provider Name: MRS. DAWN RENAE BROCKETT
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1535 LIBERTY ST SE
SALEM, OR
ZIP 97302
Phone: (866) 972-0235
Get Directions

MRS. Dawn Renae Brockett is a family nurse practitioner in Salem, OR with 9 years of experience. MRS. Dawn Renae Brockett NPI is 1154786614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1535 LIBERTY ST SE
SALEM, OR
ZIP 97302-345
Phone: (866) 972-0235

The NPI 1154786614 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 enumeration date for this NPI number is 12/28/2015 and was last updated on 12/20/2022.

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
1	363LF0000X	Nurse Practitioner	Family	4332	MINNESOTA	No
2	363LF0000X	Nurse Practitioner	Family	201805045NP-PP	OREGON	Yes

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: 5/5/2024

NPI Synchronization or Removal

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