Individual
AMANDA DEE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
350 LANGDON ST, SOMERSET, KY 42503-2786
(606) 678-8155
(606) 678-7548
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
5621P
KY
363LF0000X
Family Nurse Practitioner
Primary
3005621
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11988299
CAQH
—
05
—
7100099690
—
KY
Enumeration date
09/05/2008
Last updated
05/12/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us