Wybenga, Amy Marie

Wybenga, Amy Marie is an individual health care provider with primary practice located at 645 Mcqueen Smith Rd N Ste 309 , Prattville AL 36066-7269. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wybenga, Amy Marie can be contacted via phone (334) 358-2010.

Contact Information

Primary practice address
645 Mcqueen Smith Rd N Ste 309 Prattville AL 36066-7269
Phone: (334) 358-2010
Fax: (334) 358-2013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 1-061747 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-061747 Alabama

Profile Details

NPI number 1093896540
LBN Legal business name Wybenga, Amy Marie
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 9th, 2023 - about last year

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 1093896540 NPPES
Alabama Other 51533030 BLUE CROSS

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