Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATY JEAN SROCK, CNP
Active Sole ProprietorKATY JEAN SROCK, CNP is a Psychiatric/Mental Health, Community CNS healthcare provider located in BRAINERD, Minnesota. NPI 1790138550 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · BRAINERD, MN
Registration Details
- NPI Number
- 1790138550
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2016 (10.116995025836 yrs)
- Last Updated
- Nov 29, 2018
- License
-
R 210000-5 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
520 NW 5TH STBRAINERD, MN, 564012902Browse MN providers · Browse ZIP 56401
- Phone
- 2188293235
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.