Individual
BROOKE ELIZABETH VICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2709 W BRIGGS AVE, STE. 1, FAIRFIELD, IA 52556-2649
(641) 209-9944
(641) 209-9946
Mailing address
2709 W BRIGGS AVE, STE. 1, FAIRFIELD, IA 52556-2649
(641) 209-9944
(641) 209-9946
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
H116282
IA
Other
Enumeration date
09/14/2015
Last updated
10/12/2015
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