SONJA BROCKMAN DNP FNP-BC NPI 1205465564

NPI Information

  • NPI: 1205465564
  • Provider Name: SONJA BROCKMAN, DNP, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2685 LONG LAKE RD STE 105
    ROSEVILLE, MN
    ZIP 55113
  • Phone: (651) 633-6522

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NPI Details

Sonja Brockman, DNP, FNP-BC is a family nurse practitioner in Roseville, MN with 8 years of experience. Sonja Brockman, DNP, FNP-BC NPI is 1205465564. 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:

2685 LONG LAKE RD STE 105
ROSEVILLE, MN
ZIP 55113-117
Phone: (651) 633-6522

The NPI 1205465564 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 4/7/2020 and was last updated on 5/16/2020.

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
1363LF0000XNurse PractitionerFamily6259MINNESOTAYes

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: 11/21/2025

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