Provider Demographics
NPI:1922996891
Name:BROCKHOFF, CASSIE (RN)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:
Last Name:BROCKHOFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 ELMWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:IA
Mailing Address - Zip Code:51570-5103
Mailing Address - Country:US
Mailing Address - Phone:712-309-0284
Mailing Address - Fax:
Practice Address - Street 1:3000 S 84TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3215
Practice Address - Country:US
Practice Address - Phone:402-955-7726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA111215163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics