Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE ANN MACTAGGART, CPNP-PC
ActiveBROOKE ANN MACTAGGART, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in MANCHESTER, Iowa. NPI 1194507954 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · MANCHESTER, IA
Registration Details
- NPI Number
- 1194507954
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2023 (2.7848173998632 yrs)
- Last Updated
- Mar 29, 2024
- License
-
C176768 (IA)
Practice Information
- Address
-
105 E BUTLER STMANCHESTER, IA, 520571606Browse IA providers · Browse ZIP 52057
- Phone
- 5639279400
- Fax
- 5639276224
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.