Provider Demographics
NPI:1134972474
Name:MANN, BRIGITTE ANN (ARNP)
Entity type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:ANN
Last Name:MANN
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 E CROSS ST
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52544-3501
Mailing Address - Country:US
Mailing Address - Phone:712-490-5557
Mailing Address - Fax:712-250-2773
Practice Address - Street 1:4201 FIELDCREST DR
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51103-3184
Practice Address - Country:US
Practice Address - Phone:712-490-5557
Practice Address - Fax:712-250-2773
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA178933363LF0000X
IA096271163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily