Paula Brock Mcmanus in West Des Moines - Psychiatric/mental Health, Child & Adolescent

Paula Brock Mcmanus - NPI 1205805223

Paula Brock Mcmanus is a Psychiatric/mental Health, Child & Adolescent in West Des Moines, Iowa. Paula Brock Mcmanus practices all healthcare services and medical treatments related to Psychiatric/mental Health, Child & Adolescent. The NPI Number for Paula Brock Mcmanus is 1205805223. The last update date is 2007-07-08.

Paula Brock Mcmanus's current location address is 1003 Grand Avenue, West Des Moines, Iowa. You can contact this provider via phone number 5152671003 and fax number 5152670100. The mailing address for Paula Brock Mcmanus is 1003 Grand Avenue, West Des Moines, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Paula Brock Mcmanus
Address 1003 Grand Avenue, West Des Moines, Iowa
Phone Number 5152671003
Fax Number 5152670100
Sole Proprietor X
Credentials ARNP

NPI Number Detail

NPI Number 1205805223
Provider Enumeration Date 2006-03-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1003 Grand Avenue
City West Des Moines
State Iowa (IA)
Post Code 502653502
Phone Number 5152671003
Fax Number 5152670100

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Child & Adolescent
Taxonomy 364Sp0807X
Licence No Z053214
Definition:
A psychiatric clinical nurse specialist expert in caring for infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
IA0118 IN JOHN DEERE HC
40827 IA BLUE SHIELD
1045898 IA --

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FAQs about Paula Brock Mcmanus

What is the unique provider identifier assigned to Paula Brock Mcmanus?

The Paula Brock Mcmanus has been issued the NPI (National Provider Identifier) 1205805223 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Paula Brock Mcmanus's facilities are situated?

The facilities of Paula Brock Mcmanus are physically located at the following address: 1003 Grand Avenue, West Des Moines, IA, 502653502.

What is the Paula Brock Mcmanus's specialty and taxonomy code?

The Paula Brock Mcmanus's specialty is Psychiatric/mental Health, Child & Adolescent, and the corresponding taxonomy code is 364Sp0807X.

On what date was the 1205805223 assigned to Paula Brock Mcmanus?

The Paula Brock Mcmanus was issued its 1205805223 on 2006-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Paula Brock Mcmanus, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Paula Brock Mcmanus, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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