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Organization

AM WELLNESS CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMBER MALCOLM NP (PRESIDENT/CEO)
(308) 778-6468
Entity
Organization

Contact information

Practice address
1002 MAIN ST, BRIDGEPORT, NE 69336-4035
(308) 262-5640
(970) 667-0847
Mailing address
PO BOX 147, BRIDGEPORT, NE 69336-0147
(308) 262-5640
(970) 667-0847

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
06/11/2025
Last updated
07/22/2025
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