NPI 1275269623

Brooke Randol, MSNRNAGCNSBC

Practitioner Clinical Nurse Specialist Fort Wayne, IN

Practice location

Address: 2200 Randallia Dr, Fort Wayne, IN 46805-4638
Phone: (260) 373-6070
Fax: (260) 373-6704
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties

Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence 28195468A (IN)

Other Clinical Nurse Specialist providers in Indiana →

Registry record

NPI: 1275269623
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2022
Record last updated: 3 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.