IndividualActive
Brooke Randol, MSN, RN, AGCNS-BC
NPI 1275269623 · Clinical Nurse Specialist · Fort Wayne, IN
Provider details
- NPI number
- 1275269623
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, RN, AGCNS-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 28195468A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone: (260) 373-6070
Fax: (260) 373-6704
Approximate (ZIP-level) locationGet directions
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Registry dates
- Enumerated
- 2022-07-28
- Last updated
- 2024-06-03
- Certified
- 2024-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.