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Individual

AMY WELLS

Active
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Individual

AMY WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

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
Update your record

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