person
Amanda Dee Brock, APRN
General Practice Registered Nurse in Somerset, Kentucky
NPI 1013165786

Amanda Dee Brock is a General Practice Registered Nurse based in Burkesville, KY and is specialized in General Practice. Amanda Dee Brock practices in Somerset, KY and has the professional credentials of APRN. The NPI Number for Amanda Dee Brock is 1013165786 and holds a License No. 3005621 (Kentucky).

The current practice location address for Amanda Dee Brock is 350 Langdon St, Somerset, KY and can be reached out via phone at 606-678-8155 and via fax at 606-678-7548. You can also correspond with Amanda Dee Brock through the mailing address at PO BOX 1080, BURKESVILLE, KY - 42717-1080 (mailing address contact number: 270-858-6655).

Location: 350 Langdon St, Somerset, KY, 42717-1080
person
Provider Profile Details
NPI Number
1013165786
Provider Name
Amanda Dee Brock
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
350 Langdon St, Somerset, KY, 42717-1080
Phone Number
606-678-8155
Fax Number
606-678-7548
Provider Enumeration Date
09/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100099690 05 KY
11988299 01 CAQH
institution
Provider Business Practice Location Address Details
Address
350 Langdon St
City
State
Zip
42503-2786
Phone Number
606-678-8155
Fax Number
606-678-7548
person
Provider Business Mailing Address Details
Address
Po Box 1080
City
State
Zip
42717-1080
Phone Number
270-858-6655
Fax Number
270-858-4607
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
5621P (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3005621 (Kentucky)
Definition
Definition to come...
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