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General NPI Number Information
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NPI Number | 1952676421
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Entity Type | Individual
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Provider Name | AMY LYN WETZEL NP
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Gender | Female
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Dates
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Enumeration Date | 03/17/2012
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 280 SMITH AVE N STE 700
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City | SAINT PAUL
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State | MN
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Zip | 55102-2972
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Country | US
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Telephone | 651-241-6600
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Fax | 651-241-8778
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Provider Business Mailing Address
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Address Line | 280 SMITH AVE N SUITE 700
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City | ST. PAUL
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State | MN
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Zip | 55102
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Country | US
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Telephone | 651-241-6600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 144155-30
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R225959-0
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 144155-30
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4962-33
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 3845
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License Number State | MN
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