Individual
BROOKE ANN MACTAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
105 E BUTLER ST, MANCHESTER, IA 52057-1606
(563) 927-9400
(563) 927-6224
Mailing address
715 ANDERSON ST, MANCHESTER, IA 52057-1401
(319) 480-2540
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C176768
IA
Other
Enumeration date
10/17/2023
Last updated
03/29/2024
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