NANCY A VANDER BROEK DO NPI 1679541072

NPI Information

NPI: 1679541072
Provider Name: NANCY A VANDER BROEK, DO
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
405 MONROE ST
PELLA, IA
ZIP 50219
Phone: (641) 628-3832
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Nancy A Vander Broek, DO is a general practice in Pella, IA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Nancy A Vander Broek, DO NPI is 1679541072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

405 MONROE ST
PELLA, IA
ZIP 50219-189
Phone: (641) 628-3832
Fax: (641) 628-8894

The enumeration date for this NPI number is 3/10/2006 and was last updated on 10/15/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		02420	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1064832	MEDICAID	IOWA
2	56088	MEDICARE PIN	IOWA
3	A12779	MEDICARE UPIN	IOWA
4	080099542	OTHER	IOWA	RAILROAD MEDICARE
5	56088	MEDICARE ID-TYPE UNSPECIFIED	IOWA	MEDICARE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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