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General NPI Number Information
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NPI Number | 1205805223
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Entity Type | Individual
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Provider Name | PAULA BROCK MCMANUS ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1003 GRAND AVENUE
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City | WEST DES MOINES
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State | IA
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Zip | 50265-3502
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Country | US
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Telephone | 515-267-1003
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Fax | 515-267-0100
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Provider Business Mailing Address
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Address Line | 1003 GRAND AVENUE
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City | WEST DES MOINES
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State | IA
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Zip | 50265-3502
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Country | US
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Telephone | 515-267-1003
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Fax | 515-267-0100
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 053214
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | Z053214
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 364SP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | Z053214
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License Number State | IA
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