Individual
MELINDA SUE BROKAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP ARNP
Contact information
Practice address
112 JEFFERSON ST, WEST UNION, IA 52175-1022
(563) 422-3811
Mailing address
112 JEFFERSON ST, WEST UNION, IA 52175-1022
(563) 422-3811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A096121
IA
363LF0000X
Family Nurse Practitioner
Primary
A096121
IA
363LW0102X
Women's Health Nurse Practitioner
A096121
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659593572
—
IA
Enumeration date
05/02/2007
Last updated
10/30/2025
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