De La Fuente, Amy N

De La Fuente, Amy N is an individual health care provider with primary practice located at 931 Mall Ring Rd , Sebring FL 33870-8515. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. De La Fuente, Amy N can be contacted via phone (863) 304-8038.

Contact Information

Primary practice address
931 Mall Ring Rd Sebring FL 33870-8515
Phone: (863) 304-8038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9327671 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9327671 Florida

Profile Details

NPI number 1811364300
LBN Legal business name De La Fuente, Amy N
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2015
Last updated Jan 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811364300 NPPES
Florida Other MDXDE BLUE CROSS BLUE SHEILD
Florida MEDICAID 832148721 BLUE CROSS BLUE SHEILD

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