NPI 1407423080

Amanda Brock, RN

Practitioner Long-Term Care Clinical Nurse Specialist Fort Wayne, IN

Practice location

Address: 6925 Lake Crest CT, Fort Wayne, IN 46815-7975
Phone: (260) 416-7328

Registered specialties

Long-Term Care Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SL0600X Licence 28193220A (IN)

Other Clinical Nurse Specialist providers in Indiana →

Registry record

NPI: 1407423080
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2021
Record last updated: 10 Jun 2021

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.