Healthcare Provider Details
I. General information
NPI: 1295087856
Provider Name (Legal Business Name): ASHLEY NICHOLE TOLER A.T.C., APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/08/2012
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3691 RIDGE MILL DR
HILLIARD OH
43026-7752
US
IV. Provider business mailing address
700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US
V. Phone/Fax
- Phone: 614-293-5123
- Fax: 614-293-4890
- Phone: 614-293-5123
- Fax: 614-293-4890
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP2201X |
| Taxonomy | Ambulatory Care Registered Nurse |
| License Number | RN.500913 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | APRN.CNP.0034015 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | AT004420 |
| License Number State | OH |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | 1348 |
| License Number State | SC |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APRN.CNP.0034015 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: