Individual
AMY L HUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
6400 ROTHMAN RD, FORT WAYNE, IN 46835-1366
(260) 399-5874
Mailing address
6400 ROTHMAN RD, FORT WAYNE, IN 46835-1366
(260) 399-5874
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2816244A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003509A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201006980
—
IN
Enumeration date
10/20/2010
Last updated
01/12/2026
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