Breanna Rose Shockman
Nurse Practitioner
610 30th Ave W, Alexandria
Minnesota, 56308-3426
320-763-5123
Breanna Rose Shockman is a Alexandria, Minnesota based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Breanna Rose Shockman is 9324 for Family in Minnesota. Her current practice location is 610 30th Ave W, Alexandria. Patients can reach her at 320-763-5123 with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1962137141.
Breanna Rose Shockman has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Breanna Rose Shockman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Breanna Rose Shockman |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Practice Address: | 610 30th Ave W, Alexandria,
Minnesota, 56308-3426 |
| Phone: | 320-763-5123 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1962137141 |
| NPI Enumeration Date: | 21 Jul, 2022 |
| NPI Last Update On: | 21 Oct, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Breanna Rose Shockman are as mentioned below.
| License Number | Specialization | State | Status | |
| 9324 | Family | Minnesota | Primary | |
| 2450603 | Registered Nurse | Minnesota | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Breanna Rose Shockman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2450603 | Other | Minnesota | RN LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Breanna Rose Shockman
610 30th Ave W,
Alexandria, Minnesota |
| Zip: | 56308-3426 |
Patients can reach Breanna Rose Shockman at
610 30th Ave W, Alexandria, Minnesota or can
call to book an appointment on 320-763-5123.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.