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NPI Code Detail

MEDICARE: BROOKE SHIVERS ARNP

MEDICARE: BROOKE SHIVERS ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerA157390IA

General Provider Information

NPI Number : 1023657731
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE SHIVERS ARNP
Provider Business Mailing Address
First Line : 830 1ST AVE NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5004
Country : US
Telephone Number : 319-369-8153
Fax Number :
Provider Business Practice Location Address
First Line : 830 1ST AVE NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5004
Country : US
Telephone Number : 319-369-8153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2019
Last Update Date : 08/23/2022

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Directions to “ BROOKE SHIVERS ARNP” Practice Location

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