NPI 1518722818

Brenton Lockett

Practitioner Community Health Worker Fort Wayne, IN

Practice location

Address: 12625 Page Hill CT, Fort Wayne, IN 46818-0012
Phone: (260) 348-4738

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Indiana →

Registry record

NPI: 1518722818
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2024
Record last updated: 15 Feb 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.