Patricia Mary Brockley
Nurse Practitioner - Women's Health
361 3rd St Ste E
San Rafael
, California 94901
Patricia Mary Brockley
Nurse Practitioner - Women's Health
361 3rd St Ste E
San Rafael
, California 94901
(415) 798-3180
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Patricia Mary Brockley
- 6090 Redwood Blvd G
- Novato, CA
- Zip : 94945-4569
- Fax : (415) 798-3180
- Phone : (415) 798-3106
Second Address
- Patricia Mary Brockley
- 361 3rd St Ste E
- San Rafael, CA
- Zip : 94901
- Fax : (415) 507-2634
- Phone : (415) 499-4030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 8387 | CA |
National Provider Identifier
| NPI | 1063523413 |
|---|---|
| Provider Name | Patricia Mary Brockley |
| First Address | Novato, CA 94945-4569 |
| Second Address | San Rafael, CA 94901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 28/09/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.