Individual
NATASHA JEAN BROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 1ST AVE E, SPENCER, IA 51301-4342
(712) 264-6198
Mailing address
1200 1ST AVE E, SPENCER, IA 51301-4342
(712) 264-6198
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
D125145
IA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
125145
IA
Other
Enumeration date
02/11/2011
Last updated
07/18/2013
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