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NPI Code Detail

MEDICARE: AMY WELLER FNP

MEDICARE: AMY WELLER FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71005253AIN
2363L00000XNurse Practitioner84865KS
3363LF0000XFamily Nurse Practitioner1189417TX
4363LF0000XFamily Nurse Practitioner84865KS

General Provider Information

NPI Number : 1710381512
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY WELLER FNP
Provider Business Mailing Address
First Line : 6877 MARSH VIEW STREET
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410
Country : US
Telephone Number : 765-603-8708
Fax Number :
Provider Business Practice Location Address
First Line : 2100 N MAIN ST # 304
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-1877
Country : US
Telephone Number : 574-546-1900
Fax Number : 574-546-1999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2014
Last Update Date : 01/16/2026

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Directions to “ AMY WELLER FNP” Practice Location

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