AMANDA BROCK RN
NPI 1407423080
Clinical Nurse Specialist - Long-Term Care in Fort Wayne, IN

Q: What is Amanda Brock's NPI number?

The NPI number for Amanda Brock is 1407423080. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Q: What is Amanda Brock's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Long-Term Care, with taxonomy code 364SL0600X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Brock was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 10, 2021

6925 LAKE CREST CT, FORT WAYNE, IN 46815(260) 416-7328 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amanda Brock Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA BROCK RN (NPI 1407423080) is an individual long-term care provider in Fort Wayne, Indiana, licensed in Indiana (28193220A) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1407423080

Entity TypeIndividualFemale

Primary Taxonomy364SL0600X

Provider Legal NameAMANDA BROCKCredential: RN

Location Address6925 LAKE CREST CTFort Wayne, IN 46815-7975

Mailing Address6925 Lake Crest CtFort Wayne, IN 46815-7975

Phone(260) 416-7328

Sole ProprietorNo

Enumeration DateJune 10, 2021

NPPES CertifiedJune 10, 2021

✔ NPI 1407423080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Long-Term CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SL0600X

License✔ Licensed in IN · 28193220A

6925 LAKE CREST CT, Fort Wayne, IN 46815

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Brock's NPI number?

The NPI number for Amanda Brock is 1407423080. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Amanda Brock located?

Amanda Brock practices at 6925 Lake Crest Ct, Fort Wayne, IN 46815. The listed phone number is (260) 416-7328.

What is Amanda Brock's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Long-Term Care, with taxonomy code 364SL0600X.

When was this NPI record last updated?

The NPPES record for Amanda Brock was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.