AMY VAN DE WIELLE

ELKHART, IN
NPI1144953902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71012888A)
Enumeration Date2022-07-07
Last Update Date2025-09-25
Business Address
AMY VAN DE WIELLE
303 S NAPPANEE ST
ELKHART, IN 46514-2066
Phone number: 574-296-3200
Mailing Address
AMY VAN DE WIELLE
PO BOX 39491
BELFAST, ME 04915-1248
Phone number: 574-296-3200
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