Healthcare Provider Details

I. General information

NPI: 1568740454
Provider Name (Legal Business Name): AMBER RYCHENER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2011
Last Update Date: 11/03/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 MONROE ST SUITE 303
SYLVANIA OH
43560-2767
US

IV. Provider business mailing address

5700 MONROE ST SUITE 303
SYLVANIA OH
43560-2767
US

V. Phone/Fax

Practice location:
  • Phone: 419-473-6622
  • Fax: 419-473-6627
Mailing address:
  • Phone: 419-473-6622
  • Fax: 419-473-6627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN341320-COA1
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: