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Amanda Brock, RN
Long-Term Care Clinical Nurse Specialist in Fort Wayne, Indiana
NPI 1407423080

Amanda Brock is a Long-Term Care Clinical Nurse Specialist based in Fort Wayne, IN and is specialized in Long-Term Care. Amanda Brock practices in Fort Wayne, IN and has the professional credentials of RN. The NPI Number for Amanda Brock is 1407423080 and holds a License No. 28193220A (Indiana).

The current practice location address for Amanda Brock is 6925 Lake Crest Ct, Fort Wayne, IN and can be reached out via phone at 260-416-7328.

Location: 6925 Lake Crest Ct, Fort Wayne, IN, 46815-7975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407423080
Provider Name
Amanda Brock
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
6925 Lake Crest Ct, Fort Wayne, IN, 46815-7975
Phone Number
260-416-7328
Fax Number
Provider Enumeration Date
06/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6925 Lake Crest Ct
City
Fort Wayne
State
Indiana
Zip
46815-7975
Phone Number
260-416-7328
Fax Number
person
Provider Business Mailing Address Details
Address
6925 Lake Crest Ct
City
Fort Wayne
State
Indiana
Zip
46815-7975
Phone Number
260-416-7328
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Long-Term Care
Taxonomy
364SL0600X
License No.
28193220A (Indiana)
Definition
Definition to come...
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