Individual
MRS. PAULA BROCK MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
053214
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Z053214
IA
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Z053214
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045898
—
IA
01
—
40827
BLUE SHIELD
IA
01
—
IA0118
JOHN DEERE HC
IN
Enumeration date
03/14/2006
Last updated
07/13/2026
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