Provider Demographics
NPI:1033722392
Name:BROCHOCKI, MARGARET M (APNP PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:BROCHOCKI
Suffix:
Gender:F
Credentials:APNP PMHNP-BC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:M
Other - Last Name:BROCHOCKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APNP PMHNP
Mailing Address - Street 1:PO BOX 22040
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-2040
Mailing Address - Country:US
Mailing Address - Phone:920-445-7222
Mailing Address - Fax:920-445-7289
Practice Address - Street 1:1325 ANGELS PATH
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115-4050
Practice Address - Country:US
Practice Address - Phone:920-338-2855
Practice Address - Fax:920-338-0129
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10326-33363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI2020044401OtherAMERICAN NURSES CREDENTIALING CENTER