SearchIndiana364SL0600X

Amanda Brock, RN

NPI 1407423080 · on the registry since 2021

Practice

Address
6925 Lake Crest Ct
Fort Wayne, IN 46815
Phone
(260) 416-7328

Registry record

Primary taxonomy
364SL0600X
364SL0600X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana