Amy Marie Wybenga CRNP

NPI 1093896540 - Registered Nurse - 163WG0000X

NPI Details
NPI 1093896540
Gender Female
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
564 N MEMORIAL DR
PRATTVILLE AL, 36067-2132, US
Phone (334) 358-2010
Fax (334) 358-2013
Business Location
2257 TAYLOR RD
SUITE 200
MONTGOMERY AL, 36117-7790, US
Phone (334) 270-9914
Fax (334) 270-3195
Toxanomy
Taxonomy Code 163WG0000X
License State Alabama
License Number 1-061747
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According to our database, Amy Marie Wybenga CRNP NPI is 1093896540, taxonomy code is 163WG0000X and license number is 1-061747, license state is located at Alabama. Amy Marie Wybenga CRNP physically located at 564 N Memorial Dr, Prattville AL, 36067-2132. NPI Number Amy Marie Wybenga CRNP has the Individual type.

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1093896540 NPI number is provided on an as is basis without warranty of any kind. 1093896540 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Marie Wybenga CRNP are for informational purposes only.