Individual
AMY RENEE KNEPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 204, FORT WAYNE, IN 46845-1707
(269) 490-6260
(260) 490-6261
Mailing address
1234 E DUPONT RD, SUITE 1, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001736A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000692006
ANTHEM
IN
05
—
201004450
—
IN
Enumeration date
03/22/2007
Last updated
03/23/2013
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