Individual provider · Type 1 NPI

Amy Kay Liddy, FNP-C

Nurse Practitioner · Fort Wayne, IN

NPI number 1114752888 Active

Practice location

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4160

Call (260) 435-7001 Map

Mailing address

1522 Shadow Run Trl
Bluffton, IN 46714-1267

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nurse Practitioner Primary 363L00000X71015963A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114752888

Amy Kay Liddy, FNP-C's National Provider Identifier is 1114752888, issued on Sep 3, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 30, 2024.