Provider Demographics
NPI:1922990332
Name:SCOTT, BROOKE VICTORIA (ARNP)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:VICTORIA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1685 325TH ST
Mailing Address - Street 2:
Mailing Address - City:ODEBOLT
Mailing Address - State:IA
Mailing Address - Zip Code:51458-7586
Mailing Address - Country:US
Mailing Address - Phone:712-369-3260
Mailing Address - Fax:
Practice Address - Street 1:311 S CLARK ST STE 285
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-3086
Practice Address - Country:US
Practice Address - Phone:712-794-5536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA185779363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily