Healthcare Provider Details

I. General information

NPI: 1730815911
Provider Name (Legal Business Name): AMY WARCHOL MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2022
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 E PERKINS AVE
SANDUSKY OH
44870-4905
US

IV. Provider business mailing address

226 E PERKINS AVE
SANDUSKY OH
44870-4905
US

V. Phone/Fax

Practice location:
  • Phone: 419-239-2626
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.414364
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0031990
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: