IndividualActive
Brock Clough, APRN, CRNA
NPI 1811534118 · Certified Registered Nurse Anesthetist · Virginia, MN
Provider details
- NPI number
- 1811534118
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 2432 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1101 9th St N
Virginia, MN 55792-2329
Phone: (218) 741-0150
Approximate (ZIP-level) locationGet directions
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Registry dates
- Enumerated
- 2019-12-05
- Last updated
- 2020-01-13
- Certified
- 2020-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.