Lookup NPI Numbers from the NPI Registry
NPI Profile for AMANDA BROCK in FORT WAYNE, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Long-Term Care |
364SL0600X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1407423080 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 06/10/2021 | |
| Last updated | 06/10/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMANDA BROCK
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AMANDA BROCK, RN