Individual
AMY MARIE WYBENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
15415 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413-5409
(850) 588-3589
(850) 588-3593
Mailing address
89 SUWANNEE DR, INLET BEACH, FL 32461-8689
(334) 233-1815
(850) 588-3593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11024394
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51533030
BLUE CROSS
AL
Enumeration date
10/18/2006
Last updated
07/17/2025
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