MARY M BROCK R.N. NPI 1902051014

NPI Information

NPI: 1902051014
Provider Name: MARY M BROCK, R.N.
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
1126 LEE AVE
TALLAHASSEE, FL
ZIP 32303
Phone: (850) 488-7935
Get Directions

Mary M Brock, R.N. is a case management registered nurse in Tallahassee, FL. Mary M Brock, R.N. NPI is 1902051014. 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:

1126 LEE AVE
TALLAHASSEE, FL
ZIP 32303-508
Phone: (850) 488-7935
Fax: (850) 488-0918

The enumeration date for this NPI number is 11/18/2008 and was last updated on 11/18/2008.

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	163WC0400X	Registered Nurse	Case Management	RN9245805	FLORIDA	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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