Healthcare Provider Details

I. General information

NPI: 1407719305
Provider Name (Legal Business Name): AMY HYLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6949 GOOD SAMARITAN DR
CINCINNATI OH
45247-5204
US

IV. Provider business mailing address

6949 GOOD SAMARITAN DR
CINCINNATI OH
45247-5204
US

V. Phone/Fax

Practice location:
  • Phone: 513-941-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberAPRN.CNP.0040766
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: