Individual
BRIANNE K NEUBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
920 SOUTH OAK STREET, SUITE 1, IOWA FALLS, IA 50126-9506
(641) 648-7100
(641) 648-7095
Mailing address
920 SOUTH OAK STREET, SUITE 1, IOWA FALLS, IA 50126-9506
(641) 648-7100
(641) 648-7095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002459
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442220001
MEDICARE PTAN
IA
Enumeration date
10/17/2013
Last updated
07/10/2020
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