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Contact Information

AMANDA BROCKSIECK, ARNP
400 E POLK ST
WASHINGTON, IA52353-1237
 Phone: 319-653-5481
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMANDA BROCKSIECK · (Female)

NPI Number 1871993105
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 08/22/2014
Last updated 02/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IA License # L114471
Hospital affiliation(s)
  • WASHINGTON COUNTY HOSPITAL - (Critical Access)
    400 EAST POLK STREET
    WASHINGTON, IA 52353
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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