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NPI Code Detail

MEDICARE: AMANDA DANIELLE WETZEL ARNP

MEDICARE: AMANDA DANIELLE WETZEL ARNP
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
1363L00000XNurse PractitionerAPRN9354769FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3N4261OTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19Z3NFOTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710489182
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA DANIELLE WETZEL ARNP
Provider Business Mailing Address
First Line : 2675 WINKLER AVE FL 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9342
Country : US
Telephone Number : 877-856-3774
Fax Number : 239-599-2612
Provider Business Practice Location Address
First Line : 7751 BAYMEADOWS RD E STE G
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-5836
Country : US
Telephone Number : 904-420-6202
Fax Number : 904-420-6203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2018
Last Update Date : 04/14/2026

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