Individual
EMILLY MIKAL BRODEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1791 HIGHWAY 64 E, ANAMOSA, IA 52205-2112
(319) 462-3571
Mailing address
627 HODGIN RD, SPRINGVILLE, IA 52336-9715
(319) 431-6699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A176973
IA
Other
Enumeration date
11/06/2023
Last updated
01/12/2024
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