Individual provider · Type 1 NPI
Amanda Brock, RN
Long-Term Care Clinical Nurse Specialist · Fort Wayne, IN
NPI number
1407423080
Active
Practice location
6925 Lake Crest Ct
Fort Wayne, IN 46815-7975
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Long-Term Care Clinical Nurse Specialist Primary | 364SL0600X | 28193220A (IN) |
Long-Term Care Clinical Nurse Specialist: Definition to come...
About NPI 1407423080
Amanda Brock, RN's National Provider Identifier is 1407423080, issued on Jun 10, 2021. The primary taxonomy on file is Long-Term Care Clinical Nurse Specialist (364SL0600X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 10, 2021.