Healthcare Provider Details

I. General information

NPI: 1114834090
Provider Name (Legal Business Name): SYDNEY AMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1577 NEIL AVE
COLUMBUS OH
43210-1216
US

IV. Provider business mailing address

509 W 2ND AVE
COLUMBUS OH
43201-3357
US

V. Phone/Fax

Practice location:
  • Phone: 419-508-6886
  • Fax:
Mailing address:
  • Phone: 419-508-6886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN.491372
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: