Individual
AMY B WOEBKENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2598 W WHITE RIVER BLVD, MUNCIE, IN 47303-5251
(765) 747-3888
(765) 288-6139
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71006471A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006471A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001074332
ANTHEM PTAN
IN
05
—
201392420
—
IN
01
—
264430550
MEDICARE PTAN
IN
01
—
IN2614153
MEDICARE PTAN
IN
Enumeration date
08/22/2016
Last updated
10/03/2024
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