# AM WELLNESS CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942195797
- **Authorized official:** AMBER MALCOLM NP (PRESIDENT/CEO)
- **Authorized official phone:** (308) 778-6468

## Contact information

- **Practice address:** 1002 MAIN ST, BRIDGEPORT, NE 69336-4035
- **Practice address phone:** (308) 262-5640
- **Practice address fax:** (970) 667-0847
- **Mailing address:** PO BOX 147, BRIDGEPORT, NE 69336-0147
- **Mailing address phone:** (308) 262-5640
- **Mailing address fax:** (970) 667-0847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2025
- **Last updated:** 07/22/2025