Brock, Amanda

Brock, Amanda is an individual health care provider with primary practice located at 6925 Lake Crest Ct , Fort Wayne IN 46815-7975. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Long-Term Care, which is considered as her primary health care specialty. Brock, Amanda can be contacted via phone (260) 416-7328.

Contact Information

Primary practice address
6925 Lake Crest Ct Fort Wayne IN 46815-7975
Phone: (260) 416-7328
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Long-Term Care 364SL0600X 28193220A Indiana

Profile Details

NPI number 1407423080
LBN Legal business name Brock, Amanda
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2021
Last updated Jun 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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