Provider Demographics
NPI:1801848411
Name:ATWELL, AMY LYNN (FNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:ATWELL
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:1009 WINDCROSS CT
Mailing Address - Street 2:STE 101
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2678
Mailing Address - Country:US
Mailing Address - Phone:615-224-5438
Mailing Address - Fax:855-247-8787
Practice Address - Street 1:300 MERIDIAN CENTRE BLVD
Practice Address - Street 2:STE 320
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3981
Practice Address - Country:US
Practice Address - Phone:716-985-4494
Practice Address - Fax:585-463-3105
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2015-02-24
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Provider Licenses
StateLicense IDTaxonomies
NYF3346481363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY9513861OtherINDEPENDENT HEALTH
NY000560996003OtherBCBSWNY
NY02754832Medicaid
00027487502OtherUNIVERA
NY000560996003OtherBCBSWNY