Provider Demographics
NPI:1578560405
Name:BRINKMAN, CAROL MARGUERITE (RN CNP)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:MARGUERITE
Last Name:BRINKMAN
Suffix:
Gender:F
Credentials:RN CNP
Other - Prefix:MISS
Other - First Name:CAROL
Other - Middle Name:MARGUERITE
Other - Last Name:TROJE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN CNP
Mailing Address - Street 1:1511 NORTHWAY DR
Mailing Address - Street 2:STE 103
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1262
Mailing Address - Country:US
Mailing Address - Phone:320-267-1341
Mailing Address - Fax:
Practice Address - Street 1:9766 FALLON AVE NE STE 102
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362-4589
Practice Address - Country:US
Practice Address - Phone:763-272-1500
Practice Address - Fax:763-272-1503
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0382194363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN64350BROtherBLUE CROSS BLUE SHIELD
MN786175300Medicaid
MN131006D034OtherUCARE
MNMR143-1043267OtherPREFERRED ONE
MNHP50654OtherHEALTH PARTNERS
MN031216004OtherPRIME WEST
MN01-14662OtherMEDICA
MN786175300Medicaid
MN786175300Medicaid