Individual
BROOKE E. THIELKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2570 106TH ST STE E, URBANDALE, IA 50322-3742
(515) 664-9418
Mailing address
2570 106TH ST STE E, URBANDALE, IA 50322-3742
(515) 664-9418
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A110227
IA
363LF0000X
Family Nurse Practitioner
2004018377
MO
363LF0000X
Family Nurse Practitioner
46327
KS
363LF0000X
Family Nurse Practitioner
A110227
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942441423
—
MO
01
—
3054094
UNITED HEALTHCARE
MO
01
—
43341011
BCBS OF KANSAS CITY
MO
01
—
P00708246
RAILROAD MEDICARE MO
MO
01
—
P00719486
RAILROAD MEDICARE KS
KS
Enumeration date
03/13/2009
Last updated
09/14/2024
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