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Amy Van De Wielle
Primary Care Nurse Practitioner in South Bend, Indiana
NPI 1144953902

Amy Van De Wielle is a Primary Care Nurse Practitioner based in South Bend, IN and is specialized in Primary Care. Amy Van De Wielle practices in South Bend, IN. The NPI Number for Amy Van De Wielle is 1144953902 and holds a License No. 1609362375 (Indiana).

The current practice location address for Amy Van De Wielle is 211 N Eddy St, South Bend, IN and can be reached out via phone at 574-204-6522.

Location: 211 N Eddy St, South Bend, IN, 46617-3096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144953902
Provider Name
Amy Van De Wielle
Credential
Provider Entity Type
Individual
Gender
Female
Address
211 N Eddy St, South Bend, IN, 46617-3096
Phone Number
574-204-6522
Fax Number
Provider Enumeration Date
07/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
211 N Eddy St
City
South Bend
State
Indiana
Zip
46617-3096
Phone Number
574-204-6522
Fax Number
person
Provider Business Mailing Address Details
Address
211 N Eddy St
City
South Bend
State
Indiana
Zip
46617-3096
Phone Number
574-204-6522
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
4704393829 (Michigan)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
1609362375 (Michigan)
Definition
Definition to come...
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