Rooted Pediatric Healthcare LLC
NPI #1548029390 in Manchester, Iowa
Provider Information
- NPI Number
- 1548029390
- Entity Type
- Organization
- Organization Name
- Rooted Pediatric Healthcare LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 14, 2024
- Last Updated
- Apr 22, 2024
Practice Location
- Address
- 105 E BUTLER ST
- City
- Manchester
- State
- Iowa
- ZIP Code
- 52057-1606
- Phone
- (319) 480-2540
Authorized Official
- Name
- BROOKE ANN MACTAGGART, CPNP-PC
- Title
- PEDIATRIC NURSE PRACTITIONER
- Phone
- (319) 480-2540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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