Healthcare Provider Details

I. General information

NPI: 1326172123
Provider Name (Legal Business Name): AMBER NICOLE BIGHAM R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N EWING ST
LANCASTER OH
43130-3372
US

IV. Provider business mailing address

528 FREDERICK ST N
LANCASTER OH
43130-2641
US

V. Phone/Fax

Practice location:
  • Phone: 740-687-8000
  • Fax:
Mailing address:
  • Phone: 740-974-1486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.324237
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: