AMANDA BROCK RN NPI 1407423080

NPI Information

NPI: 1407423080
Provider Name: AMANDA BROCK, RN
Classification: Clinical Nurse Specialist - 364SL0600X
Entity Type: Individual

Specialization: Long-Term Care

Address:
6925 LAKE CREST CT
FORT WAYNE, IN
ZIP 46815
Phone: (260) 416-7328
Get Directions

Amanda Brock, RN is a long-term care clinical nurse specialist in Fort Wayne, IN. Amanda Brock, RN NPI is 1407423080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6925 LAKE CREST CT
FORT WAYNE, IN
ZIP 46815-975
Phone: (260) 416-7328

The enumeration date for this NPI number is 6/10/2021 and was last updated on 6/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SL0600X	Clinical Nurse Specialist	Long-Term Care	28193220A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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