Individual provider · Type 1 NPI
Brooke Ann Mactaggart, CPNP-PC
Pediatric Nurse Practitioner · Manchester, IA
NPI number
1194507954
Active
Practice location
105 E Butler St
Manchester, IA 52057-1606
Fax (563) 927-6224
Mailing address
715 Anderson St
Manchester, IA 52057-1401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | C176768 (IA) |
Pediatric Nurse Practitioner: Definition to come...
6 other providers at this address
- Advanced Eyecare Associates of Eastern Iowa PCOptometrist Manchester, IA NPI 1972662930
- Rooted Pediatric Healthcare LLCPrimary Care Clinic/Center Manchester, IA NPI 1548029390
- Waves Healing Therapy, LLCClinical Social Worker Manchester, IA NPI 1053097113
- Elizabeth M. Zingula, ODOptometrist Manchester, IA NPI 1215915251
- Joshua Aaron Woodland, ODOptometrist Manchester, IA NPI 1699784868
- Stefanie Louise Dingbaum, LISWClinical Social Worker Manchester, IA NPI 1942986096
About NPI 1194507954
Brooke Ann Mactaggart, CPNP-PC's National Provider Identifier is 1194507954, issued on Oct 17, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Manchester, IA. The record was last updated on Mar 29, 2024.