Nichols, Brooke E.

Nichols, Brooke E. is an individual health care provider with primary practice located at 1255 Theatre Dr , Ottumwa IA 52501-3772. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Nichols, Brooke E. can be contacted via phone (641) 451-0382.

Contact Information

Primary practice address
1255 Theatre Dr Ottumwa IA 52501-3772
Phone: (641) 451-0382
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 46327 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2004018377 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A110227 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A110227 Iowa

Profile Details

NPI number 1942441423
LBN Legal business name Nichols, Brooke E.
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2009
Last updated Aug 26th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942441423 NPPES
Missouri Other P00708246 RAILROAD MEDICARE MO
Missouri MEDICAID 1942441423 RAILROAD MEDICARE MO
Missouri Other 3054094 RAILROAD MEDICARE MO
Missouri Other 43341011 RAILROAD MEDICARE MO
Missouri Other P00719486 RAILROAD MEDICARE MO

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