Woebkenberg, Amy B

Woebkenberg, Amy B is an individual health care provider with primary practice located at 2598 W White River Blvd , Muncie IN 47303-5251. 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 / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Woebkenberg, Amy B can be contacted via phone (765) 747-3888.

Contact Information

Primary practice address
2598 W White River Blvd Muncie IN 47303-5251
Phone: (765) 747-3888
Fax: (765) 288-6139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71006471A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71006471A Indiana

Profile Details

NPI number 1053866921
LBN Legal business name Woebkenberg, Amy B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2016
Last updated Oct 3rd, 2024 - about 2 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 1053866921 NPPES
Indiana Other IN2614153 MEDICARE PTAN
Indiana Other 264430550 MEDICARE PTAN
Indiana Other 000001074332 MEDICARE PTAN
Indiana MEDICAID 201392420 MEDICARE PTAN

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