Healthcare Provider Details

I. General information

NPI: 1780194910
Provider Name (Legal Business Name): TOYA AMPIM FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2017
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4707 BRYN MOOR LN UNIT 307
CANAL WINCHESTER OH
43110-7613
US

IV. Provider business mailing address

4707 BRYN MOOR LN UNIT 307
CANAL WINCHESTER OH
43110-7613
US

V. Phone/Fax

Practice location:
  • Phone: 678-270-8922
  • Fax:
Mailing address:
  • Phone:
  • Fax: 855-618-6655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0030179
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN226708
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: