Healthcare Provider Details

I. General information

NPI: 1720992746
Provider Name (Legal Business Name): PATRICIA ALEXANDRIA HAMPTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 NORWOOD AVE
TOLEDO OH
43607-2048
US

IV. Provider business mailing address

809 NORWOOD AVE
TOLEDO OH
43607-2048
US

V. Phone/Fax

Practice location:
  • Phone: 419-901-3987
  • Fax:
Mailing address:
  • Phone: 419-901-3987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: