Healthcare Provider Details

I. General information

NPI: 1790251114
Provider Name (Legal Business Name): AMY ANN HITCHLER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 N CLEVELAND AVE STE 100
WESTERVILLE OH
43082-9845
US

IV. Provider business mailing address

6851 MANNING RD
MIAMISBURG OH
45342-1625
US

V. Phone/Fax

Practice location:
  • Phone: 720-666-4739
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.023960
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.023960
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberAPRN.CNP.023960
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2018072145
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: