Maranda J Brock, RN
Individual provider Active NPI Registered Nurse · Batavia, OH
NPI 1376473363 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1376473363
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.548375 (OH)
- Practice address
- 1090 Hospital Dr
Batavia, OH 45103-1994 - Phone
- (833) 510-4357
- NPI assigned
- May 21, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.548375 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.548375 | OH | Yes |
Addresses
Primary practice location
1090 Hospital Dr
Batavia, OH 45103-1994
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Other names
- Maranda J Black
Other providers in Batavia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.