Individual
AMY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2305 GREEN VALLEY RD, NEW ALBANY, IN 47150-4691
(812) 949-0405
(812) 949-0445
Mailing address
2305 GREEN VALLEY RD, NEW ALBANY, IN 47150-4691
(812) 949-0405
(812) 949-0445
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10000479A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033353
HEALTH ALLIANCE
—
01
—
043448
HEALTH ALLIANCE
—
01
—
080075456
RAILROAD MEDICARE
—
01
—
10019630
BCBS
—
01
—
148485
HEALTH LINK
—
01
—
174143
HEALTH LINK
—
Enumeration date
08/18/2006
Last updated
05/03/2023
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