Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA BROCK, RN
ActiveLong-Term Care Clinical Nurse Specialist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1407423080
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2021 (4.8742696142546 yrs)
- Last Updated
- Jun 10, 2021
- License
-
28193220A (IN)
Practice Information
- Address
-
6925 LAKE CREST CTFORT WAYNE, IN, 468157975Browse IN providers · Browse ZIP 46815
- Phone
- 2604167328
- Primary Specialty
-
Long-Term Care Clinical Nurse Specialist
364SL0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.