Bedan Poff, Amy
Bedan Poff, Amy is an individual health care provider with primary practice located at 2051 Clevidence Blvd Ste B , Clarksville IN 47129. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Bedan Poff, Amy can be contacted via phone (812) 280-9145.Contact Information
Primary practice address
2051 Clevidence Blvd Ste B
Clarksville IN 47129
Phone: (812) 280-9145
Fax: (502) 280-6627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71002491A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 28124768A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71002491A | Indiana |
Profile Details
| NPI number | 1932394087 |
|---|---|
| LBN Legal business name | Bedan Poff, Amy |
| Credentials | MSN NPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2007 |
| Last updated | Oct 11th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932394087 | NPPES |
| Indiana | MEDICAID | 200905020 | |
| Indiana | Other | 100930 | |
| Indiana | Other | 71002491A | |
| Indiana | Other | 000001017617 |
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