Individual
AMANDA BROCKSIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
400 E POLK ST, WASHINGTON, IA 52353-1237
(319) 653-5481
Mailing address
PO BOX 909, WASHINGTON, IA 52353-0909
(319) 653-5481
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
L114471
IA
Other
Enumeration date
08/22/2014
Last updated
02/05/2018
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